Healthcare Provider Details

I. General information

NPI: 1962425280
Provider Name (Legal Business Name): JAWAD RIAZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 WEST LAMBERTH STE A
SHERMAN TX
75092
US

IV. Provider business mailing address

121 WEST LAMBERTH STE. A
SHERMAN TX
75092
US

V. Phone/Fax

Practice location:
  • Phone: 903-892-6700
  • Fax: 903-892-6774
Mailing address:
  • Phone: 903-892-6700
  • Fax: 903-892-6774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036167020
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberP6710
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberP6710
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: