Khosravian, Pedram
Khosravian, Pedram is an individual health care provider with primary practice located at 1920 Corporate Dr. Ste 107A , San Marcos TX 78666. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Khosravian, Pedram can be contacted via phone (512) 722-6338.Contact Information
Primary practice address
1920 Corporate Dr. Ste 107A
San Marcos TX 78666
Phone: (512) 722-6338
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 58700 | California |
Dental Providers / Endodontics | 1223E0200X | 25904 | Texas |
Dental Providers / General Practice | 1223G0001X | 25904 | Texas |
Profile Details
NPI number | 1770716243 |
---|---|
LBN Legal business name | Khosravian, Pedram |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2009 |
Last updated | Dec 13th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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