MEDICARE: ARASH ESMAILI D.O.

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
1	207Q00000X	Family Medicine Physician	M6123	TX

General Provider Information

NPI Number	:	1699953257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARASH ESMAILI D.O.

Provider Business Mailing Address
First Line	:	4135 MEYERWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-4040
Country	:	US
Telephone Number	:	817-891-8606
Fax Number	:

Provider Business Practice Location Address
First Line	:	4135 MEYERWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-4040
Country	:	US
Telephone Number	:	817-891-8606
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2008
Last Update Date	:	02/06/2008

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Directions to “ ARASH ESMAILI D.O.” Practice Location

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