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NPI Code Detail

MEDICARE: HERBERT ISAAC DORFAN M.D.

MEDICARE:   HERBERT ISAAC DORFAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianD6250TX

General Provider Information

NPI Number : 1346245636
Entity Type Code : Individual
Provider Name (Legal Business Name) : HERBERT ISAAC DORFAN M.D.
Provider Business Mailing Address
First Line : 6560 FANNIN ST
Second Line : STE 1616
City : HOUSTON
State : TX
Zip : 77030-2734
Country : US
Telephone Number : 713-795-0515
Fax Number : 713-795-0563
Provider Business Practice Location Address
First Line : 6560 FANNIN ST
Second Line : STE 1616
City : HOUSTON
State : TX
Zip : 77030-2734
Country : US
Telephone Number : 713-795-0515
Fax Number : 713-795-0563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 07/08/2007

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Directions to “ HERBERT ISAAC DORFAN M.D.” Practice Location

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