M. TAHIR QAYYUM, MD, PMC

BASTROP, LA
NPI1487821708
Entity TypeOrganization
Authorized ContactM. TAHIR QAYYUM
Owner
318-283-2200
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: LA  10850R)
Enumeration Date2008-05-15
Last Update Date2010-10-22
Business Address
M. TAHIR QAYYUM, MD, PMC
540 DURHAM STREET
BASTROP, LA 71220
Phone number: 318-283-2200
Mailing Address
M. TAHIR QAYYUM, MD, PMC
540 DURHAM ST
BASTROP, LA 71220-5013
Phone number: 318-283-2200
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