Darrigan, Mohammad Reza
Darrigan, Mohammad Reza is an sole proprietor health care provider with primary practice located at 12333 Wetmore Rd , San Antonio TX 78247-3638. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Darrigan, Mohammad Reza can be contacted via phone (210) 495-6477.Contact Information
Primary practice address
12333 Wetmore Rd
San Antonio TX 78247-3638
Phone: (210) 495-6477
Fax: (210) 495-6484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 213E00000X | Texas |
Profile Details
| NPI number | 1114928520 |
|---|---|
| LBN Legal business name | Darrigan, Mohammad Reza |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Apr 29th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114928520 | NPPES |
| Texas | Other | 00FJ20 | BCBS OF TEXAS |
| Texas | Other | 480003153 | BCBS OF TEXAS |
| Texas | MEDICAID | 018704901 | BCBS OF TEXAS |
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