Provider Demographics
NPI:1326017500
Name:HAQ, SUHAIB W (MD)
Entity Type:Individual
Prefix:DR
First Name:SUHAIB
Middle Name:W
Last Name:HAQ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 734812
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-4812
Mailing Address - Country:US
Mailing Address - Phone:210-358-9500
Mailing Address - Fax:210-358-9183
Practice Address - Street 1:919 LOCKE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78208-2127
Practice Address - Country:US
Practice Address - Phone:210-358-8255
Practice Address - Fax:210-644-8726
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX823061207QS1201X
TXM1743207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177609801Medicaid
TX177609801Medicaid
TX8D9388Medicare PIN