Provider Demographics
NPI:1922664770
Name:JAWAID, MUHAMMAD UMAR
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:UMAR
Last Name:JAWAID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 AIRPORT FWY STE 220
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-6606
Mailing Address - Country:US
Mailing Address - Phone:817-358-5800
Mailing Address - Fax:817-283-7686
Practice Address - Street 1:1305 AIRPORT FWY STE 220
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-6606
Practice Address - Country:US
Practice Address - Phone:817-358-5800
Practice Address - Fax:817-283-7686
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-17
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU3251208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist