Organization
FGF NETWORK
Active
Other names
FAM PRACTICE GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATHI G FAM MD (PRESIDENT)
(972) 380-1510
Entity
Organization
Contact information
Practice address
17950 PRESTON RD, STE 210, DALLAS, TX 75252-5793
(972) 380-1510
(972) 380-1539
Mailing address
17950 PRESTON RD, STE 210, DALLAS, TX 75252-5793
(972) 380-1510
(972) 380-1539
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
E7909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12777755006
—
TX
Enumeration date
01/09/2007
Last updated
08/22/2020
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