Organization
MUDASSAR TARIQ, MD PLLC
Active
Organization
MUDASSAR TARIQ, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUDASSAR TARIQ (CEO)
(832) 786-0234
Entity
Organization
Contact information
Practice address
800 BONAVENTURE WAY STE 104, SUGAR LAND, TX 77479-8005
(832) 786-0234
Mailing address
52 SUGAR CREEK CENTER BLVD STE 225, SUGAR LAND, TX 77478-2209
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
06/17/2020
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