Organization
PROGRESSIVE MULTI-SPECIALTY GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHSIN QAYYUM MD (MANAGER)
(630) 327-8129
Entity
Organization
Contact information
Practice address
1113 WEST BAKER ROAD SUITE F, BAYTOWN, TX 77521-2391
(281) 993-3733
Mailing address
PO BOX 890326, HOUSTON, TX 77289-0326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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