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NPI Code Detail

MEDICARE: TABASSUM TAQI M.D.

MEDICARE: TABASSUM TAQI M.D.
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
1207Q00000XFamily Medicine PhysicianR-9508IA
2207Q00000XFamily Medicine PhysicianMD-42209IA
3207Q00000XFamily Medicine PhysicianQ9055TX

General Provider Information

NPI Number : 1164787255
Entity Type Code : Individual
Provider Name (Legal Business Name) : TABASSUM TAQI M.D.
Provider Business Mailing Address
First Line : PO BOX 207012
Second Line :
City : DALLAS
State : TX
Zip : 75320-7012
Country : US
Telephone Number : 405-682-3303
Fax Number : 405-384-6793
Provider Business Practice Location Address
First Line : 9511 HUFFMEISTER RD STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77095-2865
Country : US
Telephone Number : 713-461-2915
Fax Number : 713-461-5307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2012
Last Update Date : 09/15/2022

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