Individual
FAYEZ S RAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-0000
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q4497
TX
207RC0000X
Cardiovascular Disease Physician
Primary
361377
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2012
Last updated
04/11/2022
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