Individual
PROF. REZA FREDRICK GHOHESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
24165 WEST IH-10, SUITE 102, SAN ANTONIO, TX 78257
(210) 846-5350
(210) 547-7913
Mailing address
24165 W INTERSTATE 10, SUITE 102, SAN ANTONIO, TX 78257-1114
(210) 846-5350
(844) 819-1872
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD427324
PA
207N00000X
Dermatology Physician
Primary
N0043
TX
Other
Enumeration date
02/11/2006
Last updated
11/09/2016
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