Provider Demographics
NPI:1083621023
Name:AFZAL, HAIDER (MD)
Entity Type:Individual
Prefix:DR
First Name:HAIDER
Middle Name:
Last Name:AFZAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1690 W BAKER RD
Mailing Address - Street 2:STE B
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-2416
Mailing Address - Country:US
Mailing Address - Phone:281-428-8203
Mailing Address - Fax:281-428-0624
Practice Address - Street 1:1690 W BAKER RD
Practice Address - Street 2:STE B
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2416
Practice Address - Country:US
Practice Address - Phone:281-428-8203
Practice Address - Fax:281-428-0624
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3842207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX181627402Medicaid
TX8W2020OtherBCBSTX
I57319Medicare UPIN
TX181627402Medicaid
TX8W2020OtherBCBSTX