Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | N3639 | TX |
N | 207QG0300X | Family Doctor - Geriatric Medicine | N3639 | TX |
NPI | 1225362585 |
---|---|
Provider Name | Dr. Syed Mohammed Fateh Hyder |
First Address | Dallas, TX 75243-6176 |
Second Address | Dallas, TX 75243-6176 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2009 |
Last Update Date | 17/03/2018 |