Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 12820 | TX |
NPI | 1891193058 |
---|---|
Provider Name | Dr. Farzad Marzban |
First Address | Carrollton, TX 75007-2467 |
Second Address | Carrollton, TX 75007-2467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2014 |
Last Update Date | 19/12/2014 |