Organization
MOSALLAIE REHAB ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEIKHOSROW MOSALLAIE D.O., PH.D. (PRESIDENT)
(214) 727-1180
Entity
Organization
Contact information
Practice address
5225 MAPLE AVE, 3101, DALLAS, TX 75235-8195
(214) 727-1180
Mailing address
5225 MAPLE AVE, 3101, DALLAS, TX 75235-8195
(214) 727-1180
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L9821
TX
Other
Enumeration date
06/21/2006
Last updated
08/22/2020
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