Healthcare Provider Details

I. General information

NPI: 1396868014
Provider Name (Legal Business Name): AL FAIGIN DO AND N G FAIGIN DO LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5703 WESTCREEK DR
FORT WORTH TX
76133-3301
US

IV. Provider business mailing address

5703 WESTCREEK DR
FORT WORTH TX
76133-3301
US

V. Phone/Fax

Practice location:
  • Phone: 817-294-0731
  • Fax: 817-294-8065
Mailing address:
  • Phone: 817-294-0731
  • Fax: 817-294-8065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE4837
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE4836
License Number StateTX

VIII. Authorized Official

Name: DR. NANCY G FAIGIN
Title or Position: DR., OFFICE MANAGER
Credential: D.O.
Phone: 817-294-0731