Provider Demographics
NPI:1205123528
Name:QURESHI, HAMMAD
Entity type:Individual
Prefix:
First Name:HAMMAD
Middle Name:
Last Name:QURESHI
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 1:14502 SPRING CYPRESS RD STE 500
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-7578
Mailing Address - Country:US
Mailing Address - Phone:281-290-0786
Mailing Address - Fax:832-932-1664
Practice Address - Street 1:14502 SPRING CYPRESS RD STE 500
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429
Practice Address - Country:US
Practice Address - Phone:281-246-1571
Practice Address - Fax:281-246-1576
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9248207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine