Healthcare Provider Details

I. General information

NPI: 1679560106
Provider Name (Legal Business Name): SADAF QASIM ANWAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 01/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E MEDICAL CENTER BLVD STE B
WEBSTER TX
77598-4373
US

IV. Provider business mailing address

PO BOX 57278
WEBSTER TX
77598-7278
US

V. Phone/Fax

Practice location:
  • Phone: 281-554-2846
  • Fax: 281-724-1321
Mailing address:
  • Phone: 832-632-1328
  • Fax: 281-554-8064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM0001
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: