Provider Demographics
NPI:1235535105
Name:HAIDER ASSOCIATES LLC
Entity Type:Organization
Organization Name:HAIDER ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUNAWAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-403-7159
Mailing Address - Street 1:523 INDIAN PAINTBRUSH WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6922
Mailing Address - Country:US
Mailing Address - Phone:817-403-7159
Mailing Address - Fax:817-358-5813
Practice Address - Street 1:523 INDIAN PAINTBRUSH WAY
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6922
Practice Address - Country:US
Practice Address - Phone:817-403-7159
Practice Address - Fax:817-358-5813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3325207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty