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General NPI Number Information
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NPI Number | 1902009780
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Entity Type | Individual
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Provider Name | MOHAMMED S IQBAL MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 2700 E BROAD ST
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City | MANSFIELD
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State | TX
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Zip | 76063-5899
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Country | US
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Telephone | 469-757-1600
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Fax | 469-519-0202
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Provider Business Mailing Address
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Address Line | 3306 WENDOVER CT
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City | RICHARDSON
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State | TX
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Zip | 75082-3248
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Country | US
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Telephone | 469-757-1600
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Fax | 469-519-0202
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P3007
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | P3007
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | P3007
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License Number State | TX
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