Healthcare Provider Details

I. General information

NPI: 1740849520
Provider Name (Legal Business Name): FARAH HARMOUCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10950 RESOURCE PKWY STE A
HOUSTON TX
77089-6158
US

IV. Provider business mailing address

PO BOX 58538
WEBSTER TX
77598-8538
US

V. Phone/Fax

Practice location:
  • Phone: 346-474-1937
  • Fax: 346-472-2301
Mailing address:
  • Phone: 281-816-3056
  • Fax: 346-553-3222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberV4118
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberV4118
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: