Doctor Name: | FARZAD DEYHIM |
NPI Number: | 1669648440 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.D. |
License Number: | DT8080 |
Business Practice Address: | 204 E 1st St Alice, TX - 783324822 |
Business Phone Number: | 9567281769 |
Business Fax Number: | 9567221723 |
Mailing Address: | Po Box 1820, ALICE |
State: | TX |
Postal Code: | 783331820 |
Phone Number: | 9567281769 |
Fax Number: | 9567221723 |
NPI Enumeration Date: | 05/01/2008 |
NPI Last Update Date: | 05/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT8080 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |