Tavakoli, Christine Mandana

Tavakoli, Christine Mandana is an individual health care provider with primary practice located at 1940 Enchanted Way Ste 101 , Grapevine TX 76051-0965. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tavakoli, Christine Mandana can be contacted via phone (888) 854-1397.

Contact Information

Primary practice address
1940 Enchanted Way Ste 101 Grapevine TX 76051-0965
Phone: (888) 854-1397
Fax: (469) 699-0240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OK6263 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X T3709 Texas

Profile Details

NPI number 1932554581
LBN Legal business name Tavakoli, Christine Mandana
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2016
Last updated Nov 7th, 2021 - about 5 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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