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Alireza Behboudi, D.O.

Orthopaedic Surgery in Tyler, TX. Individual provider (NPI-1).

NPI number1245302819
StatusActive
Last updated in NPPESSep 22, 2020

Details

NPI
1245302819
Entity type
Individual (NPI-1)
Name
Alireza Behboudi
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Nov 15, 2006
Certification date
Sep 22, 2020
Last updated
Sep 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic SurgeryP0547TXYes

Practice location

700 Olympic Plaza Cir Ste 600
Tyler, TX 75701-1954

Phone 903-596-3844 · Fax 903-593-3843

Mailing address

700 Olympic Plaza Cir Ste 600
Tyler, TX 75701-1954

Phone 903-596-3844 · Fax 903-593-3843

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