Provider Demographics
NPI:1083295927
Name:HAQUE, MUSHAF SYED (DO, MS)
Entity Type:Individual
Prefix:DR
First Name:MUSHAF
Middle Name:SYED
Last Name:HAQUE
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Gender:M
Credentials:DO, MS
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Mailing Address - Street 1:BAYLOR SCOTT AND WHITE ALL SAINTS MEDICAL CENTER
Mailing Address - Street 2:1400 8TH AVE
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104
Mailing Address - Country:US
Mailing Address - Phone:315-436-8331
Mailing Address - Fax:817-927-6171
Practice Address - Street 1:BAYLOR SCOTT AND WHITE ALL SAINTS MEDICAL CENTER
Practice Address - Street 2:1400 8TH AVE
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104
Practice Address - Country:US
Practice Address - Phone:315-436-8331
Practice Address - Fax:817-927-6171
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-20
Last Update Date:2021-05-26
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program