Mudassar Tariq, MD PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MUDASSAR TARIQ, MD PLLC

Practice address

800 Bonaventure Way Ste 104
Sugar Land, TX 77479-8005

Phone

(832) 786-0234

NPI assigned

Sep 27, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mudassar TariqNPI 1588895825

Title

Ceo

Phone

(832) 786-0234

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mudassar Tariq, MD

  • Child & Adolescent Psychiatry Physician
  • Sugar Land, TX
  • NPI 1588895825
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1053896852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 SUGAR CREEK CENTER BLVD STE 225",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BONAVENTURE WAY STE 104",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798005",
            "telephone_number": "832-786-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUDASSAR TARIQ, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "TARIQ",
        "authorized_official_first_name": "MUDASSAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-786-0234"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.