Individual provider · Type 1 NPI

Omer Farooq, MD

Student in an Organized Health Care Education/Training Program · Beaumont, TX

NPI number 1710873104 Active · reactivated May 1, 2026

Practice location

3080 College Street Baptist Hospitals Of Southeast Texa
Beaumont, TX 77701

Call (409) 212-7463 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710873104

Omer Farooq, MD's National Provider Identifier is 1710873104, issued on Jun 13, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Beaumont, TX. The record was last updated on May 1, 2026.