Provider Demographics
NPI:1407059025
Name:KAMALPOUR, LOEBAT (MD)
Entity Type:Individual
Prefix:
First Name:LOEBAT
Middle Name:
Last Name:KAMALPOUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 N CAPITAL OF TEXAS HWY STE J225
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-1499
Mailing Address - Country:US
Mailing Address - Phone:512-808-4777
Mailing Address - Fax:512-808-4779
Practice Address - Street 1:3801 N CAPITAL OF TEXAS HWY STE J225
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-1499
Practice Address - Country:US
Practice Address - Phone:512-808-4777
Practice Address - Fax:512-808-4779
Is Sole Proprietor?:No
Enumeration Date:2007-06-10
Last Update Date:2021-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR0597207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology