Individual
FARZAD DEYHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.
Contact information
Practice address
204 E 1ST ST, ALICE, TX 78332-4822
(956) 728-1769
(956) 722-1723
Mailing address
PO BOX 1820, ALICE, TX 78333-1820
(956) 728-1769
(956) 722-1723
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT8080
TX
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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