| Farestufail PLLC | |
|
4616 Us Hwy 75 Ste 203 Denison TX 75020-4582 | |
| (972) 813-9483 | |
| Not Available |
| Full Name | Farestufail PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4616 Us Hwy 75 Ste 203, Denison, Texas |
| Authorized Official Name and Position | Fawad Aslam Tufail (CEO) |
| Authorized Official Contact | 9728139483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farestufail PLLC 4616 Us Hwy 75 Ste 203 Denison TX 75020-4582 Ph: (972) 813-9483 | Farestufail PLLC 4616 Us Hwy 75 Ste 203 Denison TX 75020-4582 Ph: (972) 813-9483 |
| NPI Number | 1134888639 |
|---|---|
| Provider Enumeration Date | 12/12/2021 |
| Last Update Date | 12/29/2021 |
| Certification Date | 12/29/2021 |
| Medicare PECOS PAC ID | 8820464779 |
|---|---|
| Medicare Enrollment ID | O20221018000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134888639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Fawad a Tufail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558371682 PECOS PAC ID: 8729067806 Enrollment ID: I20111215000407 |
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