Provider Demographics
NPI:1265198972
Name:SARWAR, MUQADDAS (PHD)
Entity type:Individual
Prefix:
First Name:MUQADDAS
Middle Name:
Last Name:SARWAR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16510 CHAMPIONS COVE CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-6583
Mailing Address - Country:US
Mailing Address - Phone:832-229-0724
Mailing Address - Fax:
Practice Address - Street 1:1400 FM 528 RD STE E
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4757
Practice Address - Country:US
Practice Address - Phone:832-229-0724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38948103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical