Individual
PEZHMAN MIRZAKHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
628 RAINTREE CIR, COPPELL, TX 75019-5447
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 938, ROWLETT, TX 75030-0938
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00372
TX
Other
Enumeration date
07/05/2007
Last updated
08/21/2019
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