Provider Demographics
NPI:1457759433
Name:FARZAD SOLEIMANI, PLLC
Entity Type:Organization
Organization Name:FARZAD SOLEIMANI, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FARZAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLEIMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-762-9333
Mailing Address - Street 1:1301 RICHMOND AVE APT 454
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5585
Mailing Address - Country:US
Mailing Address - Phone:512-762-9333
Mailing Address - Fax:
Practice Address - Street 1:1301 RICHMOND AVE APT 454
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5585
Practice Address - Country:US
Practice Address - Phone:512-762-9333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0569207PE0004X
CAA129392207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty