Individual
DR. MANZOOR S FAROOQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3004 S W S YOUNG DR, KILLEEN, TX 76542-2023
(254) 634-7337
(254) 634-2592
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K0741
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038AC
BCBS OF TEXAS
TX
05
—
092090201
—
TX
01
—
092090202
MCD EPSDT
TX
01
—
710884482
HUMANA/MILITARY-TRICARE
TX
Enumeration date
07/22/2005
Last updated
12/14/2011
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