Provider Demographics
NPI:1144217605
Name:HAQ, MUHAMMAD Z (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:Z
Last Name:HAQ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 VETERANS MEMORIAL DRIVE,111
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504
Mailing Address - Country:US
Mailing Address - Phone:254-783-0883
Mailing Address - Fax:
Practice Address - Street 1:1901 VETERANS MEMORIAL DRIVE,111
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504
Practice Address - Country:US
Practice Address - Phone:254-783-0883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6861207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8845MOOtherBCBS NUMBER
TX00KL07Medicare ID - Type UnspecifiedGROUP NUMBER
TX8845MOOtherBCBS NUMBER
TX8845MOMedicare ID - Type UnspecifiedINDIVIDUAL NUMBER