Patra Fazel, O.D

NPI #1295972867 in Irving, Texas

Provider Information

NPI Number: 1295972867
Entity Type: Individual
Name: Patra Fazel, O.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D
Enumeration Date: Jan 19, 2009
Last Updated: Jan 19, 2009

Practice Location

Address: 4100 W AIRPORT FWY STE 100
City: Irving
State: Texas
ZIP Code: 75062-5913
Phone: (972) 986-9778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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