MEDICARE: DR. MOHSEN MIRABI M.D.

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	101YM0800X	Mental Health Counselor	E1064	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942256912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHSEN MIRABI M.D.

Provider Business Mailing Address
First Line	:	7515 MAIN ST
Second Line	:	SUITE 600
City	:	HOUSTON
State	:	TX
Zip	:	77030-4519
Country	:	US
Telephone Number	:	713-796-9992
Fax Number	:	713-796-9419

Provider Business Practice Location Address
First Line	:	7515 MAIN ST
Second Line	:	SUITE 600
City	:	HOUSTON
State	:	TX
Zip	:	77030-4519
Country	:	US
Telephone Number	:	713-796-9992
Fax Number	:	713-796-9419

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. MOHSEN MIRABI M.D.” Practice Location

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