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3700 Buffalo Speedway Suite 550 Houston TX 77098-3700 | |
| (713) 871-8800 | |
| (713) 871-8881 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 3700 Buffalo Speedway, Houston, Texas |
| Authorized Official Name and Position | Farnam H Farzam (OWNER/DENTIST) |
| Authorized Official Contact | 7138718800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3700 Buffalo Speedway Suite 550 Houston TX 77098-3700 Ph: (713) 871-8800 | 3700 Buffalo Speedway Suite 550 Houston TX 77098-3700 Ph: (713) 871-8800 |
| NPI Number | 1629353883 |
|---|---|
| Provider Enumeration Date | 10/19/2011 |
| Last Update Date | 10/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629353883 | NPI | - | NPPES |
| 111175902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18688 (Texas) | Primary |
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