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NPI Code Detail

MEDICARE: DRS PAHLAVAN & NGUYEN PA

MEDICARE: DRS PAHLAVAN & NGUYEN PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1134114564
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRS PAHLAVAN & NGUYEN PA
Provider Business Mailing Address
First Line : 410 W LITTLE YORK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77076-1305
Country : US
Telephone Number : 281-447-7220
Fax Number : 281-447-7221
Provider Business Practice Location Address
First Line : 410 W LITTLE YORK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77076-1305
Country : US
Telephone Number : 281-447-7220
Fax Number : 281-447-7221
Authorized Official
Title or Position : OWNER
Name : DR. POORANG PAHLAVAN
Credential : D.D.S
Telephone Number : 281-447-7220
Provider Enumeration Date : 09/12/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1144287111 — POORANG PAHLAVAN DDS
Practice Location Address:
410 W LITTLE YORK RD
HOUSTON, TX
77076-1305
Practice Phone: 281-447-7220
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Practice Fax:
1366466245 — DR. JOAN KING D.D.S.
Practice Location Address:
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HOUSTON, TX
77076-1305
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Practice Fax: 281-447-7221
1366283947 — AMERZ HEALTH CARE L.L.C
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Directions to “DRS PAHLAVAN & NGUYEN PA ” Practice Location

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