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General NPI Number Information
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NPI Number | 1154362465
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Entity Type | Individual
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Provider Name | FARSHID D KAYFAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 04/14/2010
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Provider Practice Location Address
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Address Line | 500 W 4TH ST
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City | ODESSA
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State | TX
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Zip | 79761-5001
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Country | US
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Telephone | 432-640-1190
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Fax | 432-640-3489
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Provider Business Mailing Address
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Address Line | 1717 MAIN ST SUITE 5300
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City | DALLAS
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State | TX
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Zip | 75201-4605
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Country | US
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Telephone | 214-712-2074
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Fax | 214-712-2487
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | J3828
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License Number State | TX
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