Individual
NISHATH ALIMAN FARHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 935-5063
Mailing address
821 LOTUS DR, RICHARDSON, TX 75081-5197
(713) 392-6180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BP10057595
TX
Other
Enumeration date
05/11/2016
Last updated
06/16/2016
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