Provider Demographics
NPI:1932679271
Name:IQBAL, UROOJ (RPH)
Entity Type:Individual
Prefix:MS
First Name:UROOJ
Middle Name:
Last Name:IQBAL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 WORTH ST STE 355
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2092
Mailing Address - Country:US
Mailing Address - Phone:469-982-0053
Mailing Address - Fax:
Practice Address - Street 1:3410 WORTH ST STE 355
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2092
Practice Address - Country:US
Practice Address - Phone:214-370-1613
Practice Address - Fax:214-370-1615
Is Sole Proprietor?:No
Enumeration Date:2018-11-29
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63950183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX63950OtherTEXAS STATE BOARD OF PHARMACY