Provider Demographics
NPI:1649957275
Name:HOSSEIN BEIGI, HEDYEH
Entity type:Individual
Prefix:
First Name:HEDYEH
Middle Name:
Last Name:HOSSEIN BEIGI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W RENNER RD APT 314
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-1031
Mailing Address - Country:US
Mailing Address - Phone:469-756-8521
Mailing Address - Fax:
Practice Address - Street 1:16066 STATE HIGHWAY 121
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4681
Practice Address - Country:US
Practice Address - Phone:469-675-1684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72350183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist