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Contact Information

FARNOUSH F FAEZ REZVANI, DPM
1450 W. GRAND PKWY. S.
G-120
KATY, TX77494-8300
 Phone: 866-950-3627
 Fax: 800-652-8206
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FARNOUSH F FAEZ REZVANI · (Female)

NPI # 1881642940
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/04/2006
Last updated 04/18/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 1724
  • TX Medicaid 173402201
  • TX Medicaid 173402202
  • TX Medicaid 173402203
  • TX Medicaid 173402205
  • TX Medicaid 173402206
  • TX Other 0001MR BCBS
  • TX Other P00452024 RAIL RD. MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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