Individual
MARYBETH CONSTANCE KEISER FARAZDAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6400 FANNIN ST STE 1800, HOUSTON, TX 77030-1526
(507) 284-2511
Mailing address
6400 FANNIN ST STE 1800, HOUSTON, TX 77030-1526
(713) 486-9400
(713) 486-9595
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
67737
MN
207W00000X
Ophthalmology Physician
Primary
V1453
TX
Other
Enumeration date
03/21/2019
Last updated
06/11/2024
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