| Husna Iqbal Md Pa | |
|
2801 Duke Of Gloucester St St 101 Desoto TX 75115-2084 | |
| (972) 572-8150 | |
| (972) 572-8055 |
| Full Name | Husna Iqbal Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2801 Duke Of Gloucester St, Desoto, Texas |
| Authorized Official Name and Position | Husna Iqbal (PHYSICIAN) |
| Authorized Official Contact | 9725728150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Husna Iqbal Md Pa 2801 Duke Of Gloucester St St 101 Desoto TX 75115-2084 Ph: (972) 572-8150 | Husna Iqbal Md Pa 2801 Duke Of Gloucester St St 101 Desoto TX 75115-2084 Ph: (972) 572-8150 |
| NPI Number | 1346439338 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 06/17/2009 |
| Medicare PECOS PAC ID | 4082640701 |
|---|---|
| Medicare Enrollment ID | O20050714000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346439338 | NPI | - | NPPES |
| 164139101 | Medicaid | TX | |
| 164139102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K3253 (Texas) | Primary |
| Provider Name | Husna Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427098946 PECOS PAC ID: 0446286066 Enrollment ID: I20110601000480 |
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