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Organization
NORTH TEXAS DIABETES & ENDOCRINOLOGY
Active
Organization
NORTH TEXAS DIABETES & ENDOCRINOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WASIM A HAQUE MD (OWNER PHYSICIAN)
(214) 222-2700
Entity
Organization
Contact information
Practice address
190 CIVIC CIR, #272, LEWISVILLE, TX 75067-3424
(214) 222-2700
(214) 222-2705
Mailing address
PO BOX 293295, LEWISVILLE, TX 75029-3295
(214) 222-2700
(214) 222-2705
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
L2924
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163475001
—
TX
01
—
DB7653
RAILROAD MEDICARE
TX
Enumeration date
03/23/2006
Last updated
08/11/2008
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