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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NILOOFAR KHOSRAVIAN

Active Sole Proprietor

DR. NILOOFAR KHOSRAVIAN is a Endodontics healthcare provider located in SAN MARCOS, Texas. NPI 1790126779 is currently active in the NPPES registry. Verify at CMS.

Endodontics · SAN MARCOS, TX

Registration Details

NPI Number
1790126779
Provider Type
Individual
Gender
Female
NPI Issued
Jul 8, 2013 (13.120046007091 yrs)
Last Updated
Jun 21, 2020
Licenses
31791 (TX)
057614 (NY)
DS040753 (PA)
DL11947 (MA)
31791 (TX)
Sole Proprietor
Yes

Practice Information

Address
1920 CORPORATE DR
#107 A
SAN MARCOS, TX, 786666283
Browse TX providers · Browse ZIP 78666
Phone
8189225752
Primary Specialty
Endodontics
1223E0200X
Additional Specialty
Dentist
Additional Specialty
Dentist
Additional Specialty
Dentist
Additional Specialty
Endodontics

Other Endodontics Providers in SAN MARCOS, TX

Name Credential NPI
DR. PEJMAN KHOSRAVIAN D.M.D 1518000595
DR. PEDRAM KHOSRAVIAN D.M.D. 1770716243
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.