Organization
FARIDA VALLIANI MD P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIDA FARRUKH VALLIANI MD (OWNER)
(214) 731-0031
Entity
Organization
Contact information
Practice address
3740 N JOSEY LN, SUITE 206, CARROLLTON, TX 75007-2474
(214) 731-0031
(214) 731-0065
Mailing address
3740 N JOSEY LN, SUITE 206, CARROLLTON, TX 75007-2474
(214) 731-0031
(214) 731-0065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J9413
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157962501
—
TX
Enumeration date
07/26/2005
Last updated
10/12/2011
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