Provider Demographics
NPI:1649340308
Name:FARAH, NADA BARKOUDA (DDS)
Entity type:Individual
Prefix:MRS
First Name:NADA
Middle Name:BARKOUDA
Last Name:FARAH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7474 SOUTH KIRKWOOD STE 102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-3349
Mailing Address - Country:US
Mailing Address - Phone:281-568-3737
Mailing Address - Fax:281-568-8336
Practice Address - Street 1:7474 SOUTH KIRKWOOD STE 102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-3349
Practice Address - Country:US
Practice Address - Phone:281-568-3737
Practice Address - Fax:281-568-8336
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX169041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice