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Individual

FASEEHA RAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6407 S COOPER ST STE 117, ARLINGTON, TX 76001-5813
(817) 472-7061
Mailing address
8668 JOHN HICKMAN PKWY STE 1003, FRISCO, TX 75034-9388
(469) 466-2727

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA13867
TX
363A00000X
Physician Assistant
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/28/2020
Last updated
04/23/2021
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