Individual
DEYA JACOB DAFASHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5119 FAIRMONT PKWY STE A, PASADENA, TX 77505-3727
(281) 991-7603
(281) 991-7675
Mailing address
PO BOX 890827, HOUSTON, TX 77289-0827
(281) 991-7603
(281) 991-7675
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L1026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141940902
—
TX
Enumeration date
07/14/2006
Last updated
10/08/2008
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