Provider Demographics
NPI:1932838406
Name:ASHOURI, ARASH
Entity Type:Individual
Prefix:
First Name:ARASH
Middle Name:
Last Name:ASHOURI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16903 SUMMER HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-4899
Mailing Address - Country:US
Mailing Address - Phone:832-620-7807
Mailing Address - Fax:
Practice Address - Street 1:2708 PEARLAND PKWY STE PEARLAND
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5351
Practice Address - Country:US
Practice Address - Phone:281-997-1943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX384731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice