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NPI Code Detail

MEDICARE: NOUSHIN A FIROUZBAKHT MD

MEDICARE: NOUSHIN A FIROUZBAKHT 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
1207V00000XObstetrics & Gynecology PhysicianM2619TX

General Provider Information

NPI Number : 1417154634
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOUSHIN A FIROUZBAKHT MD
Provider Business Mailing Address
First Line : 1125 S HENDERSON ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4464
Country : US
Telephone Number : 817-878-2667
Fax Number : 817-810-9541
Provider Business Practice Location Address
First Line : 1125 S HENDERSON ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4464
Country : US
Telephone Number : 817-878-2667
Fax Number : 817-810-9541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 10/12/2021

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Directions to “ NOUSHIN A FIROUZBAKHT MD” Practice Location

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