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Individual
FARNOUSH F. FAEZ-REZVANI
Active
Individual
FARNOUSH F. FAEZ-REZVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001MR
BCBS
TX
05
—
173402201
—
TX
05
—
173402202
—
TX
05
—
173402203
—
TX
05
—
173402205
—
TX
05
—
173402206
—
TX
01
—
P00452024
RAIL RD. MEDICARE
TX
Enumeration date
05/04/2006
Last updated
04/18/2008
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