Individual
FAREESHA JIWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2555 JIMMY JOHNSON BLVD, PORT ARTHUR, TX 77640-2007
(409) 724-7389
Mailing address
1603 MEADOWSWEET DR, SUGAR LAND, TX 77479-4082
(832) 744-3737
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14598
TX
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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