Individual
DR. QUAZI M IMAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1833 W PIONEER PKWY, ARLINGTON, TX 76013-6106
(682) 323-4566
(682) 323-4676
Mailing address
1833 W PIONEER PKWY, ARLINGTON, TX 76013-6106
(682) 323-4566
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J3819
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122129306
—
TX
Enumeration date
07/14/2006
Last updated
08/23/2013
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