Individual
DR. MOHAMMAD JAVED TARIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 LAKEPOINTE STE 100, LEWISVILLE, TX 75057
(972) 316-3344
(972) 316-3322
Mailing address
6505 W. PK BLV STE 306,PMB 376, PLANO, TX 75093
(972) 316-3344
(972) 316-3322
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
K1092
TX
208VP0000X
Pain Medicine Physician
K1092
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
K1092
TX
291U00000X
Clinical Medical Laboratory
45D2018771
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030369501
—
TX
01
—
1982637088
GROUP NPI
TX
01
—
720000125
MEDICARE RAILROAD INDIVID
TX
01
—
CJ8159
MEDICARE RAILROAD GROUP
TX
Enumeration date
06/01/2005
Last updated
11/10/2014
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