Farhan Raza
Individual provider Active NPI Anesthesiology Physician · Jbsa Lackland Afb, TX
NPI 1699215566 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1699215566
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 2026036181 (MO)
- Practice address
- 1100 Wilford Hall Loop, BLDG. 4554
Jbsa Lackland Afb, TX 78236-9908 - Phone
- (210) 228-6383
- NPI assigned
- Feb 27, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 2026036181 | MO | Yes |
Addresses
Primary practice location
1100 Wilford Hall Loop, BLDG. 4554
Jbsa Lackland Afb, TX 78236-9908
Mailing address
1100 Wilford Hall Loop, BLDG. 4554
Jbsa Lackland, TX 78236-9908
Phone (210) 228-6383
Other providers in Jbsa Lackland Afb, TX
All providers in Jbsa Lackland Afb, TX · Anesthesiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.