Provider Demographics
NPI:1942256912
Name:MIRABI, MOHSEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHSEN
Middle Name:
Last Name:MIRABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MOHSEN
Other - Middle Name:
Other - Last Name:MIRABI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7515 MAIN ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4519
Mailing Address - Country:US
Mailing Address - Phone:713-796-9992
Mailing Address - Fax:713-796-9419
Practice Address - Street 1:7515 MAIN ST
Practice Address - Street 2:SUITE 600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4519
Practice Address - Country:US
Practice Address - Phone:713-796-9992
Practice Address - Fax:713-796-9419
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1064101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX031944401Medicaid
TXC19448Medicare UPIN