Individual
DR. FARZIN GORAVANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
1515 HOLCOMBE BLVD UNIT 1243, HOUSTON, TX 77030-4000
(713) 291-1163
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J9687
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050068165
RR MEDICARE
TX
05
—
124567204
—
TX
01
—
84685X
BCBS
TX
Enumeration date
09/21/2006
Last updated
08/15/2012
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