Healthcare Provider Details

I. General information

NPI: 1528952215
Provider Name (Legal Business Name): FARHAT SOLUADE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 FANNIN ST STE 350
HOUSTON TX
77030-3004
US

IV. Provider business mailing address

6431 FANNIN ST # 3.286
HOUSTON TX
77030-1501
US

V. Phone/Fax

Practice location:
  • Phone: 713-486-6644
  • Fax:
Mailing address:
  • Phone: 281-235-4590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: