MEDICARE: AL FAIGIN DO AND N G FAIGIN DO LLP

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
1	207Q00000X	Family Medicine Physician
2	207Q00000X	Family Medicine Physician	E4837	TX
3	207Q00000X	Family Medicine Physician	E4836	TX

General Provider Information

NPI Number	:	1396868014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AL FAIGIN DO AND N G FAIGIN DO LLP

Provider Business Mailing Address
First Line	:	5703 WESTCREEK DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-3301
Country	:	US
Telephone Number	:	817-294-0731
Fax Number	:	817-294-8065

Provider Business Practice Location Address
First Line	:	5703 WESTCREEK DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-3301
Country	:	US
Telephone Number	:	817-294-0731
Fax Number	:	817-294-8065

Authorized Official
Title or Position	:	DR., OFFICE MANAGER
Name	:	DR. NANCY G FAIGIN
Credential	:	D.O.
Telephone Number	:	817-294-0731

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	08/08/2024

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