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NPI Code Detail

MEDICARE: DR. WAFAA Y FARAG MD

MEDICARE:  DR. WAFAA Y FARAG  MD
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
12084P0800XPsychiatry PhysicianL3638TX
22084P0804XChild & Adolescent Psychiatry PhysicianL3638TX

Other Identifiers

General Provider Information

NPI Number : 1205894920
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WAFAA Y FARAG MD
Provider Business Mailing Address
First Line : PO BOX 20669
Second Line :
City : HOUSTON
State : TX
Zip : 77225-0669
Country : US
Telephone Number : 713-790-0745
Fax Number : 713-790-1302
Provider Business Practice Location Address
First Line : 7707 FANNIN ST
Second Line : SUITE 205
City : HOUSTON
State : TX
Zip : 77054-1926
Country : US
Telephone Number : 713-790-0745
Fax Number : 713-790-1302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 05/29/2008

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Directions to “ DR. WAFAA Y FARAG MD” Practice Location

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