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1487332904
PAYAAM PATRICK TAVAKOLI
GREENVILLE, TX
NPI
1487332904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: TX T-692058)
Enumeration Date
2023-07-05
Last Update Date
2023-07-08
Business Address
Dr. PAYAAM PATRICK TAVAKOLI DPM
4215 JOE RAMSEY BLVD E
GREENVILLE, TX 75401-7852
Phone number: 903-408-5000
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Mailing Address
Dr. PAYAAM PATRICK TAVAKOLI DPM
2500 SUMMER LEE DR APT 440
ROCKWALL, TX 75032-0233
Phone number: 240-678-9111
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