Healthcare Provider Details

I. General information

NPI: 1174086102
Provider Name (Legal Business Name): IQRA SAGHIR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2019
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 N CLAYTON ST
WILMINGTON DE
19805-3155
US

IV. Provider business mailing address

4645 SWEETWATER BLVD STE 200
SUGAR LAND TX
77479-3016
US

V. Phone/Fax

Practice location:
  • Phone: 302-575-8040
  • Fax: 302-575-8050
Mailing address:
  • Phone: 281-302-5673
  • Fax: 713-429-5202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code281P00000X
TaxonomyChronic Disease Hospital
License NumberT0703
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberT6703
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: