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General NPI Number Information
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NPI Number | 1811561913
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Entity Type | Individual
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Provider Name | KHORSHID AMIRKHOSRAVI
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Gender | Female
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Dates
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Enumeration Date | 05/14/2021
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 7550 OFFICE CITY DR
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City | HOUSTON
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State | TX
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Zip | 77012-4115
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Country | US
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Telephone | 713-495-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 7703 FLOYD CURL DR # 7795
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3901
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | V3230
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License Number State | TX
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