AUSTIN FERTILITY INSTITUTE, PA
Medical Practice in Austin, TX

License number
Texas N5874
Category
Medical Practice
Type
Reproductive Endocrinology
Owner
Name: DR. KENNETH KAMYAR MOGHADAM MD
Title: DIRECTOR/PHYSICIAN
Phone: (512) 339-4234
Address
Address
2200 Park Bend Dr Bldg. 2 - SUITE 204, Austin, TX 78758
National Provider ID: 1083934830
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AUSTIN FERTILITY INSTITUTE, PA

Austin, TX  -  Houston, TX

Registration:
Mar 1, 2010
Addresses:
2200 Park Bnd Dr BLDG 204, Austin, TX 78758 (Mailing)
13215 Dotson Rd, Houston, TX 77070
State ID:
0801237505
Business type:
Professional Association
Director, Secretary, Treasurer, Vice-President, Member, President:
Kenneth Moghadam (Director, Secretary, Treasurer, Vice-President, Member, President)
TIN:
32041332142

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