Individual
DR. FARZAD FAKOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. , MPH
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 590-5611
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(325) 670-5570
(325) 670-5577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N0755
TX
Other
Enumeration date
10/11/2007
Last updated
06/06/2014
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