Individual
FAISAL ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18780 INTERSTATE 20, CANTON, TX 75103-3593
(903) 567-7748
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S4910
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1N4307
MEDICARE RAILROAD
TX
Enumeration date
06/03/2017
Last updated
03/31/2021
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