Provider Demographics
NPI:1811138134
Name:FAROOQUI, ABDUL K (OT)
Entity type:Individual
Prefix:MR
First Name:ABDUL
Middle Name:K
Last Name:FAROOQUI
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 MIDLANDS CIR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-6461
Mailing Address - Country:US
Mailing Address - Phone:713-732-2080
Mailing Address - Fax:
Practice Address - Street 1:3317 MIDLANDS CIR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-6461
Practice Address - Country:US
Practice Address - Phone:713-732-2080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108332225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist