Individual
MR. VID FIKFAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5300
(915) 215-8606
Mailing address
6550 FANNIN ST STE 2307, HOUSTON, TX 77030-2723
(832) 472-6356
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
S2771
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10044088
TX
Other
Enumeration date
06/13/2012
Last updated
11/06/2019
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