Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | P3528 | TX |
N | 207V00000X | Obstetrician & Gynecologist | P3528 | TX |
Y | 207VX0201X | Gynecologic Oncologist | P3528 | TX |
NPI | 1174543698 |
---|---|
Provider Name | Thahir Farzan |
First Address | Dallas, TX 75284-0026 |
Second Address | Amarillo, TX 79106-1745 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 13/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
325877401 | (05) | TX |