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Organization

MANOOCHEHR KHATAMI, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LIZ WYNN (SECRETARY)
(214) 631-0502
Entity
Organization

Contact information

Practice address
5939 HARRY HINES BLVD STE 823, DALLAS, TX 75235-6243
(214) 631-0502
(214) 631-2567
Mailing address
5939 HARRY HINES BLVD STE 823, DALLAS, TX 75235-6243
(214) 631-0502
(214) 631-2567

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
F8781
TX

Other

Enumeration date
09/14/2009
Last updated
09/14/2009
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