MEDICARE: MRS. NAFEES F SAIFEE

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	E3762	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720173024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NAFEES F SAIFEE

Provider Business Mailing Address
First Line	:	700 HEMPHILL ST
Second Line	:	SUITE B
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3105
Country	:	US
Telephone Number	:	817-336-2481
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 HEMPHILL ST
Second Line	:	SUITE B
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3105
Country	:	US
Telephone Number	:	817-336-2481
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	05/02/2012

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