Basic Information
| Provider Information | |||||||||
| NPI: | 1598928400 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FAROOQ | ||||||||
| FirstName: | ASIF | ||||||||
| MiddleName: | MOHAMMAD | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 5980 | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794085980 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8067610878 | ||||||||
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| Practice Location | |||||||||
| Address1: | 602 INDIANA AVE | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 79415 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8067758200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2008 | ||||||||
| LastUpdateDate: | 07/17/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 249419 | NY | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | MD2008-0678 | NM | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | N5047 | TX | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | N5047 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.