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Organization
WELLCARE PROFESSIONALS LLC
Active
Organization
WELLCARE PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIAZ FARHAT MD (OWNER)
(214) 506-1136
Entity
Organization
Contact information
Practice address
1109 E 5TH ST STE B, TYLER, TX 75701-3318
(903) 354-0231
Mailing address
21175 TOMBALL PKWY # 504, HOUSTON, TX 77070-1655
(214) 506-1136
(214) 705-3786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
01/07/2022
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