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Individual

DR. FARIBORZ NAZARI-ADLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4002 GARTH ROAD, SUITE 150, BAYTOWN, TX 77521-3114
(281) 420-4000
(281) 428-4940
Mailing address
4002 GARTH ROAD, SUITE 150, BAYTOWN, TX 77521-3114
(281) 420-4000
(281) 428-4940

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J7111
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0461725-02
TPI
TX
Enumeration date
10/03/2006
Last updated
12/17/2012
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