Individual
ETIYA MANZUR FAROOQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2003 KIRBY SPRINGS CT, PEARLAND, TX 77584-8203
(832) 457-3013
Mailing address
2003 KIRBY SPRINGS CT, PEARLAND, TX 77584-8203
(832) 457-3013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L8683
TX
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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