Individual
MRS. FARZANA FARIAH FARISHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7847 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 212-3960
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
321712
LA
363A00000X
Physician Assistant
PA17926
TX
Other
Enumeration date
01/10/2020
Last updated
06/05/2024
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