| Bahar Immunization Center Llc | |
|
5200 Mitchelldale St F-27 Houston TX 77092-7206 | |
| (832) 878-2044 | |
| Not Available |
| Full Name | Bahar Immunization Center Llc |
|---|---|
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 5200 Mitchelldale St, Houston, Texas |
| Authorized Official Name and Position | Siavash Tehrani (MEMBER MANAGER) |
| Authorized Official Contact | 8328782044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bahar Immunization Center Llc 5200 Mitchedalle Suite F-27 Houston TX 77092 Ph: (832) 878-2044 | Bahar Immunization Center Llc 5200 Mitchelldale St F-27 Houston TX 77092-7206 Ph: (832) 878-2044 |
| NPI Number | 1053725978 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 07/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053725978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | (* (Not Available)) | Primary |
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