institution
M. Tahir Qayyum, Md, Pmc
Clinic/Center in Bastrop, Louisiana
NPI 1487821708

M. Tahir Qayyum, Md, Pmc is a Clinic/Center based in Bastrop, LA. M. Tahir Qayyum, Md, Pmc practices in Bastrop, LA. The NPI Number for M. Tahir Qayyum, Md, Pmc is 1487821708 and holds a License No. 10850R (Louisiana).

The current practice location address for M. Tahir Qayyum, Md, Pmc is 540 Durham Street, Bastrop, LA and can be reached out via phone at 318-283-2200 and via fax at 318-283-1200. You can also correspond with M. Tahir Qayyum, Md, Pmc through the mailing address at 540 DURHAM ST, BASTROP, LA - 71220-5013 (mailing address contact number: 318-283-2200).

Location: 540 Durham Street, Bastrop, LA, 71220-5013
institution
Provider Profile Details
NPI Number
1487821708
Provider Name
M. Tahir Qayyum, Md, Pmc
Credential
Provider Entity Type
Organization
Address
540 Durham Street, Bastrop, LA, 71220-5013
Phone Number
318-283-2200
Fax Number
318-283-1200
Provider Enumeration Date
05/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447111 05 LA
institution
Provider Business Practice Location Address Details
Address
540 Durham Street
City
State
Zip
71220
Phone Number
318-283-2200
Fax Number
318-283-1200
person
Provider Business Mailing Address Details
Address
540 Durham Street
City
State
Zip
71220
Phone Number
318-283-2200
Fax Number
318-283-1200
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
10850R (Louisiana)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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