Individual
KHADIJA FAWAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 S US HIGHWAY 75, SHERMAN, TX 75090-5707
(903) 532-1400
Mailing address
610 STILLMEADOW DR, RICHARDSON, TX 75081-5614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
728838
TX
Other
Enumeration date
03/03/2018
Last updated
03/03/2018
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