Basic Information
Provider Information
NPI: 1962021485
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SYED
FirstName: NARMEEN
MiddleName: HASSAN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3625 W WALNUT HILL LN APT 1084
Address2:  
City: IRVING
State: TX
PostalCode: 750384010
CountryCode: US
TelephoneNumber: 8477662778
FaxNumber:  
Practice Location
Address1: 506 E SAN ANTONIO ST
Address2:  
City: VICTORIA
State: TX
PostalCode: 779016060
CountryCode: US
TelephoneNumber: 3615757441
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/14/2020
LastUpdateDate: 05/05/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/05/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X TXY Student, Health CareStudent in an Organized Health Care Education/Training Program 
207Q00000XBP10070720TXN Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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