Healthcare Provider Details

I. General information

NPI: 1275065559
Provider Name (Legal Business Name): MUHAMMAD LATIF FARHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18951 N MEMORIAL DR STE 103W
HUMBLE TX
77338-4217
US

IV. Provider business mailing address

1600 11TH ST
WICHITA FALLS TX
76301-4300
US

V. Phone/Fax

Practice location:
  • Phone: 281-540-8409
  • Fax:
Mailing address:
  • Phone: 267-575-2749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT212860
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberS5613
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberS5613
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: