Tavakolian, Paul

Tavakolian, Paul is an individual health care provider with primary practice located at 2425 Highway 121 , Bedford TX 76021-5013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Tavakolian, Paul can be contacted via phone (817) 540-4477.

Contact Information

Primary practice address
2425 Highway 121 Bedford TX 76021-5013
Phone: (817) 540-4477
Fax: (817) 540-5633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X R6117 Texas
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X R6117 Texas

Profile Details

NPI number 1114347408
LBN Legal business name Tavakolian, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2014
Last updated Jul 16th, 2024 - about 4 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114347408 NPPES
Texas MEDICAID 415295101

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