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NPI Code Detail

MEDICARE: ALI MOSHTAGHFARD

MEDICARE: ALI MOSHTAGHFARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist33989TX

General Provider Information

NPI Number : 1083941975
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI MOSHTAGHFARD
Provider Business Mailing Address
First Line : 1807 W HARRIS RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76001-6749
Country : US
Telephone Number : 817-467-2182
Fax Number :
Provider Business Practice Location Address
First Line : 6551 FOREST HILL DR
Second Line :
City : FOREST HILL
State : TX
Zip : 76140-1205
Country : US
Telephone Number : 817-478-2952
Fax Number : 817-478-0942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2009
Last Update Date : 11/12/2009

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Directions to “ ALI MOSHTAGHFARD ” Practice Location

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