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General NPI Number Information
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NPI Number | 1033738497
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Entity Type | Individual
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Provider Name | FERESHTEH AZAD MD
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Gender | Female
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 7004 BEE CAVES RD STE 2-100
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-5086
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Country | US
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Telephone | 512-642-5050
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Fax | 512-642-8186
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Provider Business Mailing Address
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Address Line | 7004 BEE CAVES RD STE 2-100
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-5086
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Country | US
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Telephone | 512-642-5050
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Fax | 512-642-8186
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | U9202
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | U9202
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License Number State | TX
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