Individual
POOYA P POURALIFAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1867
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
P4607
TX
207L00000X
Anesthesiology Physician
TRN9430
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
P4607
TX
208VP0000X
Pain Medicine Physician
27046
OK
Other
Enumeration date
08/06/2008
Last updated
01/14/2015
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