Provider Demographics
NPI:1629851985
Name:FAROOQ J HUSAYN MD INC
Entity Type:Organization
Organization Name:FAROOQ J HUSAYN MD INC
Other - Org Name:THE PEDIATRIC INSTITUTE OF CORPUS CHRISTI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FAROOQ
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSAYN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-451-9928
Mailing Address - Street 1:PO BOX 8373
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78468-8373
Mailing Address - Country:US
Mailing Address - Phone:805-451-9928
Mailing Address - Fax:
Practice Address - Street 1:6214 SARATOGA BLVD BLDG 3 STE A
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-3421
Practice Address - Country:US
Practice Address - Phone:805-451-9928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-18
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty