Provider Demographics
NPI:1972873891
Name:HAMID PEJMAN INC
Entity type:Organization
Organization Name:HAMID PEJMAN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:
Authorized Official - Last Name:PEJMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-493-9119
Mailing Address - Street 1:225 E SONTERRA BLVD
Mailing Address - Street 2:113
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3992
Mailing Address - Country:US
Mailing Address - Phone:210-493-9119
Mailing Address - Fax:210-493-7923
Practice Address - Street 1:225 E SONTERRA BLVD
Practice Address - Street 2:113
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3992
Practice Address - Country:US
Practice Address - Phone:210-493-9119
Practice Address - Fax:210-493-7923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4362261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center