Individual
FARBOD MASROUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O,
Contact information
Practice address
2540 N GALLOWAY AVE STE 205, MESQUITE, TX 75150-4813
(142) 962-4863
(214) 758-1400
Mailing address
PO BOX 801344, DALLAS, TX 75380-1344
(972) 686-6646
(214) 758-1400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N9262
TX
207RG0100X
Gastroenterology Physician
Primary
N9262
TX
Other
Enumeration date
06/13/2011
Last updated
11/29/2018
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