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1033138011
ABDOLREZA SIADATI
FORT WORTH, TX
NPI
1033138011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: TX L8956)
Enumeration Date
2006-07-19
Last Update Date
2019-02-04
Business Address
ABDOLREZA SIADATI MD
1900 MISTLETOE BLVD SUITE 200
FORT WORTH, TX 76104-4014
Phone number: 817-878-5333
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Mailing Address
ABDOLREZA SIADATI MD
1900 MISTLETOE BLVD STE 200
FORT WORTH, TX 76104-4049
Phone number: 817-878-5333
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