Organization
FARDIN DJAFARI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDIN S DJAFARI M.D. (OWNER/SOLE MEMBER)
(940) 687-4700
Entity
Organization
Contact information
Practice address
1631 11TH STREET, WICHITA FALLS, TX 76301
(940) 687-4700
(940) 687-5000
Mailing address
1631 11TH STREET, WICHITA FALLS, TX 76301
(940) 687-4700
(940) 687-5000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
10/14/2010
Last updated
02/28/2011
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