Individual
DR. FARID FRED TAIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1409 SHILOH RD STE 150, PLANO, TX 75074-8258
(972) 398-1665
(972) 398-1677
Mailing address
428 AMBROSE DR, MURPHY, TX 75094-4209
(972) 422-1485
(972) 398-1677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K4813
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8S7890
BLUE CROSS AND BLUE SHIEL
TX
Enumeration date
06/16/2005
Last updated
10/30/2007
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