Individual
DR. ABDUL QADIR HASEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18602 FM 1488 RD, SUITE 700, MAGNOLIA, TX 77354-8508
(281) 252-0013
(281) 252-4464
Mailing address
PO BOX 1176, WALLER, TX 77484
(936) 931-3448
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
K1836
TX
208000000X
Pediatrics Physician
Primary
K1836
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041760202
—
TX
05
—
041760203
—
TX
05
—
041760204
—
TX
05
—
041760206
—
TX
05
—
041760208
—
TX
Enumeration date
04/18/2006
Last updated
06/08/2012
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