Individual
MS. SHAFAQ TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 MATLOCK RD STE 201, MANSFIELD, TX 76063-6889
(817) 539-9091
Mailing address
350 MATLOCK RD STE 201, MANSFIELD, TX 76063-6889
(817) 539-9091
(817) 539-9553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
U9673
TX
207RI0200X
Infectious Disease Physician
Primary
U9673
TX
Other
Enumeration date
03/20/2019
Last updated
03/10/2025
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