Individual
DR. MUDASSAR TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 BONAVENTURE WAY STE 104, SUGAR LAND, TX 77479-8005
(832) 786-0234
(832) 995-1767
Mailing address
800 BONAVENTURE WAY STE 104, SUGAR LAND, TX 77479-8005
(832) 786-0234
(979) 730-3125
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Q0706
TX
2084P0802X
Addiction Psychiatry Physician
Q0706
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
Q0706
TX
Other
Enumeration date
08/04/2009
Last updated
07/03/2024
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