Individual
DR. AMIR ALI FARIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5125 TEXOMA MEDICAL CENTER DR STE 100, DENISON, TX 75020-0084
(903) 868-4700
(903) 892-4910
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
K4420
TX
207RX0202X
Medical Oncology Physician
K4420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122150908
—
TX
05
—
200036240A
—
OK
01
—
8R1436
BLUE CROSS OF TEXAS
TX
Enumeration date
06/04/2006
Last updated
09/21/2022
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