Healthcare Provider Details

I. General information

NPI: 1386039683
Provider Name (Legal Business Name): WAQAS ISRAR GILANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2015
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N HIGHLAND AVE STE 200
SHERMAN TX
75092-7371
US

IV. Provider business mailing address

321 N HIGHLAND AVE STE 200
SHERMAN TX
75092-7371
US

V. Phone/Fax

Practice location:
  • Phone: 903-903-5141
  • Fax: 662-377-3716
Mailing address:
  • Phone: 903-903-5141
  • Fax: 662-377-3716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberV5402
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number27771
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: