Individual
DR. FARZAD FAZELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9209 ELAM RD, SUITE #102, DALLAS, TX 75217-4179
(214) 309-0100
(214) 309-0029
Mailing address
9209 ELAM RD, SUITE #102, DALLAS, TX 75217-4179
(214) 309-0100
(214) 309-0029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H4004
TX
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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