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
Fax: (210) 495-6484
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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