Individual
SHERIF TAHA AL-FARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2660
(817) 735-5441
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2660
(817) 735-5441
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
L4211
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
L4211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152913301
—
TX
01
—
290014810
RAILROAD MEDICARE
TX
01
—
8A5413
BCBS
TX
Enumeration date
04/18/2006
Last updated
07/29/2015
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