Individual provider · Type 1 NPI

Poupak Moshayedi

Family Nurse Practitioner · Dallas, TX

NPI number 1912625328 Active

Practice location

5200 Harry Hines Blvd
Dallas, TX 75235-7709

Mailing address

8191 Holliday Rd
Lantana, TX 76226-6499

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF06221831 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1912625328

Poupak Moshayedi's National Provider Identifier is 1912625328, issued on Aug 22, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Aug 22, 2022.