Organization
DOCTOR IS IN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HASSAN FAROOQ MD (PHYSICIAN OWNER)
(903) 455-1234
Entity
Organization
Contact information
Practice address
4812 ROBERTS ST, GREENVILLE, TX 75401-5669
(903) 455-1234
(903) 455-2122
Mailing address
4812 ROBERTS ST, GREENVILLE, TX 75401-5669
(903) 455-1234
(903) 455-2122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K4421
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189004801
—
TX
Enumeration date
07/23/2006
Last updated
10/12/2020
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