Individual
SASAN MIRFAKHRAEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7201
(214) 645-2800
(214) 645-2808
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-2800
(214) 645-2808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N3181
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
N3181
TX
390200000X
Student in an Organized Health Care Education/Training Program
TL-1957
CO
Other
Enumeration date
01/26/2007
Last updated
08/17/2012
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