Dr. Farzad Fazeli, d.o.
Family Medicine in Dallas, TX. Individual provider (NPI-1).
NPI number1184771362
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1184771362
- Entity type
- Individual (NPI-1)
- Name
- Dr. Farzad Fazeli
- Credential
- d.o.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | h4004 | TX | Yes |
Practice location
9209 Elam RdSuite #102
Dallas, TX 75217-4179
Phone 214-309-0100 · Fax 214-309-0029
Mailing address
9209 Elam RdSuite #102
Dallas, TX 75217-4179
Phone 214-309-0100 · Fax 214-309-0029
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