Mohammad R Fazel, MD is a
Surgery physician based in Olney, Texas. Mohammad R Fazel is licensed to practice in Texas (license number G1003) and his current practice location is 107 S Ave M, Olney, Texas. He can be reached at his office (for appointments etc.) via phone at
(940) 564-3561.
NPI number for Mohammad R Fazel is 1336280767 and his current mailing address is Po Box 458, 107 S Ave M, Olney, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336280767.
Physician's Profile
Full Name | Mohammad R Fazel |
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Gender | Male |
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Speciality | Surgery |
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Location | 107 S Ave M, Olney, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336280767
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 10/08/2008
Medical Identifiers
Medical identifiers for Mohammad R Fazel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336280767 | NPI | - | NPPES |
133873301 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | G1003 (Texas) | Primary |
208D00000X | General Practice | G1003 (Texas) | Secondary |
207P00000X | Emergency Medicine | G1003 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mohammad R Fazel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mohammad R Fazel, MD Po Box 458, 107 S Ave M, Olney, TX 76374 Ph: (940) 564-3561 | Mohammad R Fazel, MD 107 S Ave M, Olney, TX 76374 Ph: (940) 564-3561 |
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