Provider Demographics
NPI:1700993631
Name:N HAQ MD PA
Entity Type:Organization
Organization Name:N HAQ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:NADEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-323-2020
Mailing Address - Street 1:3311 UNICORN LAKE BLVD
Mailing Address - Street 2:SUITE 181
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-0102
Mailing Address - Country:US
Mailing Address - Phone:940-323-2020
Mailing Address - Fax:940-323-2011
Practice Address - Street 1:3311 UNICORN LAKE BLVD
Practice Address - Street 2:SUITE 181
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-0102
Practice Address - Country:US
Practice Address - Phone:940-323-2020
Practice Address - Fax:940-323-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX184739401Medicaid
TX184739401Medicaid