Provider Demographics
NPI:1083342661
Name:CRESCENT EMERGENCY PHYSICIANS PLLC
Entity Type:Organization
Organization Name:CRESCENT EMERGENCY PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:FARHAT MD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-826-9974
Mailing Address - Street 1:PO BOX 941805
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75094-1805
Mailing Address - Country:US
Mailing Address - Phone:469-482-0861
Mailing Address - Fax:469-273-1720
Practice Address - Street 1:2600 W PLEASANT RUN RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1114
Practice Address - Country:US
Practice Address - Phone:469-482-0861
Practice Address - Fax:469-273-1720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-11
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty