Organization
DAVOODI FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIBORZ ALAN DAVOODI M.D. (PHYSICIAN)
(972) 410-3682
Entity
Organization
Contact information
Practice address
3051 CHURCHILL DR, SUITE # 100, FLOWER MOUND, TX 75022-2713
(972) 410-3682
(972) 410-3683
Mailing address
3051 CHURCHILL DR, SUITE # 100, FLOWER MOUND, TX 75022-2713
(972) 410-3682
(972) 410-3683
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
H2930
TX
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
H2930
TX
Other
Enumeration date
12/08/2011
Last updated
01/25/2012
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