Provider Demographics
NPI:1043098635
Name:PARHAM BAHADOR PLLC
Entity Type:Organization
Organization Name:PARHAM BAHADOR PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BAHADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-370-4700
Mailing Address - Street 1:6701 OAKMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-2957
Mailing Address - Country:US
Mailing Address - Phone:817-370-4700
Mailing Address - Fax:817-242-8059
Practice Address - Street 1:6701 OAKMONT BLVD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-2957
Practice Address - Country:US
Practice Address - Phone:817-370-4700
Practice Address - Fax:817-242-8059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty