Individual
MOHAMMAD QASIM ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 648-1620
(214) 648-4080
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-1620
(214) 648-4080
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
H4133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117973101
—
TX
Enumeration date
03/18/2006
Last updated
02/09/2010
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