Healthcare Provider Details

I. General information

NPI: 1932390010
Provider Name (Legal Business Name): MARIA VIQAR-SYED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VIQAR MARIA MD

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6705 HERITAGE PKWY STE 202
ROCKWALL TX
75087-8727
US

IV. Provider business mailing address

5308 N GALLOWAY AVE STE 201
MESQUITE TX
75150-1125
US

V. Phone/Fax

Practice location:
  • Phone: 469-800-3200
  • Fax: 469-800-3210
Mailing address:
  • Phone: 469-800-3200
  • Fax: 469-800-3210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301083341
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number105642
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberQ0843
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberQ0843
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: