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NPI Code Detail

MEDICARE: FARAHMAND FARHANGI

MEDICARE:   FARAHMAND  FARHANGI
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
11223G0001XGeneral Practice Dentistry19033TX

General Provider Information

NPI Number : 1932269131
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARAHMAND FARHANGI
Provider Business Mailing Address
First Line : 1218 SW MILITARY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78221-1535
Country : US
Telephone Number : 210-928-7751
Fax Number :
Provider Business Practice Location Address
First Line : 1202 SW MILITARY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78221-1535
Country : US
Telephone Number : 210-928-7751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 07/08/2007

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Directions to “ FARAHMAND FARHANGI ” Practice Location

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