MEDICARE: WAJID HUSSAIN 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
1	2084P0800X	Psychiatry Physician	036139473	IL
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2084P0800X	Psychiatry Physician	T5925	TX

General Provider Information

NPI Number	:	1316297948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAJID HUSSAIN M.D

Provider Business Mailing Address
First Line	:	1507 LYNDON B JOHNSON FWY STE 750
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-6088
Country	:	US
Telephone Number	:	817-527-8621
Fax Number	:

Provider Business Practice Location Address
First Line	:	1507 LYNDON B JOHNSON FWY STE 750
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-6088
Country	:	US
Telephone Number	:	817-527-8621
Fax Number	:

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

Provider Enumeration Date	:	09/11/2012
Last Update Date	:	04/29/2026

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Directions to “ WAJID HUSSAIN M.D” Practice Location

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