Individual
GABRIEL T FAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S MAIN ST, FT WORTH, TX 76104-4917
(817) 702-1100
(817) 702-1101
Mailing address
200 W MAGNOLIA AVE STE 201, FT WORTH, TX 76104-7657
(817) 702-2977
(817) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD228498
OR
207R00000X
Internal Medicine Physician
MD61254187
WA
207RC0000X
Cardiovascular Disease Physician
14193490-1235
UT
207RI0011X
Interventional Cardiology Physician
036173571
IL
207RI0011X
Interventional Cardiology Physician
Primary
R3509
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP1-0037459
TX
Other
Enumeration date
11/17/2010
Last updated
01/21/2026
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