Healthcare Provider Details

I. General information

NPI: 1457516742
Provider Name (Legal Business Name): MUHAMMAD A TAUSEEF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 05/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3311 PRESCOTT RD SUITE 410
ALEXANDRIA LA
71301-3900
US

IV. Provider business mailing address

7005 SETON HALL DR
FORT WORTH TX
76120-2334
US

V. Phone/Fax

Practice location:
  • Phone: 318-487-1477
  • Fax: 318-442-5814
Mailing address:
  • Phone: 610-405-4011
  • Fax: 888-314-6761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number202335
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: