# PROGRESSIVE MULTI-SPECIALTY GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942698139
- **Authorized official:** MOHSIN QAYYUM MD (MANAGER)
- **Authorized official phone:** (630) 327-8129

## Contact information

- **Practice address:** 1113 WEST BAKER ROAD SUITE F, BAYTOWN, TX 77521-2391
- **Practice address phone:** (281) 993-3733
- **Mailing address:** PO BOX 890326, HOUSTON, TX 77289-0326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/23/2014
- **Last updated:** 12/23/2014
