Provider Demographics
NPI:1275946295
Name:FAROOQI, NAVEEDA (PA-C)
Entity Type:Individual
Prefix:
First Name:NAVEEDA
Middle Name:
Last Name:FAROOQI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 COIT RD APT 922
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-8226
Mailing Address - Country:US
Mailing Address - Phone:956-648-1349
Mailing Address - Fax:
Practice Address - Street 1:9600 COIT RD APT 922
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-8226
Practice Address - Country:US
Practice Address - Phone:956-648-1349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1116381363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical