MEDICARE: FATIMA QADIR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	108020	TX

General Provider Information

NPI Number	:	1043629314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FATIMA QADIR

Provider Business Mailing Address
First Line	:	13330 NOEL RD
Second Line	:	APT 139
City	:	DALLAS
State	:	TX
Zip	:	75240-5055
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6825 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-4210
Country	:	US
Telephone Number	:	214-845-3200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2014
Last Update Date	:	08/11/2014

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Directions to “ FATIMA QADIR ” Practice Location

Language	Start Address	Practice Location

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