Basic Information
Provider Information
NPI: 1457516742
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TAUSEEF
FirstName: MUHAMMAD
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7005 SETON HALL DR
Address2:  
City: FORT WORTH
State: TX
PostalCode: 761202334
CountryCode: US
TelephoneNumber: 6104054011
FaxNumber: 8883146761
Practice Location
Address1: 3311 PRESCOTT RD
Address2: SUITE 410
City: ALEXANDRIA
State: LA
PostalCode: 713013900
CountryCode: US
TelephoneNumber: 3184871477
FaxNumber: 3184425814
Other Information
ProviderEnumerationDate: 07/25/2008
LastUpdateDate: 05/29/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X202335LAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


Home