Healthcare Provider Details

I. General information

NPI: 1972846285
Provider Name (Legal Business Name): FARAH AL-SAFFAR MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2013
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3410 WORTH ST STE 250
DALLAS TX
75246-2073
US

IV. Provider business mailing address

3410 WORTH ST STE 250
DALLAS TX
75246-2073
US

V. Phone/Fax

Practice location:
  • Phone: 214-778-1684
  • Fax:
Mailing address:
  • Phone: 214-778-1684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberS7834
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License NumberS7834
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: