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NPI Code Detail

MEDICARE: FAROOK W TAHA

MEDICARE: FAROOK W TAHA
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
1207P00000XEmergency Medicine Physician270821NY
2207P00000XEmergency Medicine PhysicianQ2072TX

General Provider Information

NPI Number : 1821354598
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAROOK W TAHA
Provider Business Mailing Address
First Line : 3552 FLOWING WAY
Second Line :
City : PLANO
State : TX
Zip : 75074-9005
Country : US
Telephone Number : 845-518-4943
Fax Number :
Provider Business Practice Location Address
First Line : 1011 N GALLOWAY AVE
Second Line :
City : MESQUITE
State : TX
Zip : 75149-2433
Country : US
Telephone Number : 214-320-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2012
Last Update Date : 10/31/2023

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Directions to “ FAROOK W TAHA ” Practice Location

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