Most Relevant Information
Provider Data
| NPI Number: | 1003044595 |
| Provider Name: | MAHTA OSTADIAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | MD60170098 |
Most Important Dates
| Enumeration Date: | 06/23/2009 |
| Last Updated: | 10/28/2019 |
Provider Practice Location
541 SILICON DR STE 102
SOUTHLAKE
TX
76092
Practice Location Phone/Fax
| Phone: | 8175396819 |
| Fax: | 8175396870 |
Provider Mailing Location
541 SILICON DR STE 102
SOUTHLAKE
TX
760927565
Provider Mailing Phone/Fax
| Phone: | 8175396819 |
| Fax: | 8175396870 |
Suggested EMR
Psychiatry EMR