Provider Demographics
NPI:1841924701
Name:FARIS, HIRUT (RN)
Entity type:Individual
Prefix:
First Name:HIRUT
Middle Name:
Last Name:FARIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4833 MEDICAL CENTER DR # 6B
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1898
Mailing Address - Country:US
Mailing Address - Phone:972-547-6969
Mailing Address - Fax:
Practice Address - Street 1:4833 MEDICAL CENTER DR # 6B
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1898
Practice Address - Country:US
Practice Address - Phone:972-547-6969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1098274363LA2100X
TX892393163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse