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Organization

BAYTOWN OCCUPATIONAL & FAMILY MEDICINE P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FARIBORZ NAZARI-ADLI M.D. (DOCTOR MD.)
(281) 420-4000
Entity
Organization

Contact information

Practice address
4002 GARTH ROAD, SUITE 150, BAYTOWN, TX 77521-3114
(281) 420-4000
(281) 428-4940
Mailing address
4002 GARTH ROAD, SUITE 150, BAYTOWN, TX 77521-3114
(281) 420-4000
(281) 428-4940

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J7111
TX
261QP2300X
Primary Care Clinic/Center
J7111
TX
261QX0100X
Occupational Medicine Clinic/Center
J7111
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
210760901
TX
Enumeration date
11/09/2007
Last updated
01/15/2013
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