Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | N1946 | TX |
N | 208200000X | Surgeon | N1946 | TX |
N | 208600000X | Surgeon | N1946 | TX |
NPI | 1093830689 |
---|---|
Provider Name | Faranak Vossoughi |
First Address | Katy, TX 77493-2710 |
Second Address | Katy, TX 77493-2710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 13/01/2010 |