Provider Demographics
NPI:1598042335
Name:ISTANBOOLY, FAYE FATINA (MD)
Entity Type:Individual
Prefix:DR
First Name:FAYE
Middle Name:FATINA
Last Name:ISTANBOOLY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7400 WATERS EDGE DR
Mailing Address - Street 2:
Mailing Address - City:LARUE
Mailing Address - State:TX
Mailing Address - Zip Code:75770-5004
Mailing Address - Country:US
Mailing Address - Phone:903-677-0161
Mailing Address - Fax:903-677-0151
Practice Address - Street 1:7400 WATERS EDGE DR
Practice Address - Street 2:
Practice Address - City:LARUE
Practice Address - State:TX
Practice Address - Zip Code:75770-5004
Practice Address - Country:US
Practice Address - Phone:903-677-0161
Practice Address - Fax:903-677-0151
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH70692084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry