Individual
FEDRA FALLAHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2018022088
MO
2086X0206X
Surgical Oncology Physician
Primary
U3836
TX
Other
Enumeration date
06/25/2018
Last updated
09/04/2024
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