Individual
ALIFIYA FAKHRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
504 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(314) 757-2996
Mailing address
46 CLOVERGATE CIR, THE WOODLANDS, TX 77382-5407
(281) 459-0712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N0011
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J21A
GROUP MEDICARE NUMBER
TX
01
—
094010801
GROUP MEDICAID NUMBER
TX
Enumeration date
12/20/2006
Last updated
03/11/2015
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