Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | S9806 | TX |
NPI | 1013362136 |
---|---|
Provider Name | Zain Tariq |
First Address | Fort Worth, TX 76104-2172 |
Second Address | Fort Worth, TX 76104-2172 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2016 |
Last Update Date | 21/09/2021 |