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NPI Code Detail

MEDICARE: DR. MUZAYYAN SYED HAQ DO

MEDICARE: DR. MUZAYYAN SYED HAQ DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1204D00000XNeuromusculoskeletal Medicine & OMM Physician25MB12962300NJ
2204D00000XNeuromusculoskeletal Medicine & OMM PhysicianW1428TX

General Provider Information

NPI Number : 1861197394
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MUZAYYAN SYED HAQ DO
Provider Business Mailing Address
First Line : 855 MONTGOMERY ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-2553
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 855 MONTGOMERY ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-2553
Country : US
Telephone Number : 817-735-3627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2023
Last Update Date : 03/25/2026

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