Provider Demographics
NPI:1275013237
Name:HAYAT, QURATULAIN (DO)
Entity Type:Individual
Prefix:DR
First Name:QURATULAIN
Middle Name:
Last Name:HAYAT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5303 DALLY WAY LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3891
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5115 AVENUE H STE 701
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-2477
Practice Address - Country:US
Practice Address - Phone:713-486-1950
Practice Address - Fax:713-486-0858
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-20
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO5336207Q00000X
FLOS15796207Q00000X
TXS5383207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine