Provider Demographics
NPI:1679535645
Name:HUSAIN, HUNED MUZAFFER (MD)
Entity type:Individual
Prefix:
First Name:HUNED
Middle Name:MUZAFFER
Last Name:HUSAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1650 W COLLEGE ST # 62
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3565
Mailing Address - Country:US
Mailing Address - Phone:214-989-6353
Mailing Address - Fax:214-617-0507
Practice Address - Street 1:1650 W COLLEGE ST
Practice Address - Street 2:BOX 77
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3565
Practice Address - Country:US
Practice Address - Phone:817-385-9988
Practice Address - Fax:817-385-6560
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6952207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7306518OtherAETNA
TX160619601Medicaid
TX160619602Medicaid
TX8H1678OtherBCBS
TX7306518OtherAETNA
TX160619602Medicaid
TX8H1678OtherBCBS