Healthcare Provider Details

I. General information

NPI: 1700456365
Provider Name (Legal Business Name): IQRA FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2021
Last Update Date: 06/27/2021
Certification Date: 06/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 S CENTER ST
ARLINGTON TX
76010-4401
US

IV. Provider business mailing address

3236 JETRANGER RD
HURST TX
76053-7875
US

V. Phone/Fax

Practice location:
  • Phone: 682-701-1101
  • Fax:
Mailing address:
  • Phone: 682-701-1101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAFIA BARRE
Title or Position: CEO
Credential:
Phone: 682-701-1101