Provider Demographics
NPI:1740176924
Name:FARAH TALIB PLLC
Entity type:Organization
Organization Name:FARAH TALIB PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:TALIB
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:832-465-4419
Mailing Address - Street 1:10835 CAMPBELL PT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1320
Mailing Address - Country:US
Mailing Address - Phone:832-465-4419
Mailing Address - Fax:
Practice Address - Street 1:FREEPORT FAMILY DENTISTRY
Practice Address - Street 2:313 S BRAZOSPORT BLVD
Practice Address - City:FREEPORT
Practice Address - State:TX
Practice Address - Zip Code:77541
Practice Address - Country:US
Practice Address - Phone:979-233-6000
Practice Address - Fax:979-233-9629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty