# NORTH TEXAS DIABETES & ENDOCRINOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609835925
- **Authorized official:** WASIM A HAQUE MD (OWNER PHYSICIAN)
- **Authorized official phone:** (214) 222-2700

## Contact information

- **Practice address:** 190 CIVIC CIR, \#272, LEWISVILLE, TX 75067-3424
- **Practice address phone:** (214) 222-2700
- **Practice address fax:** (214) 222-2705
- **Mailing address:** PO BOX 293295, LEWISVILLE, TX 75029-3295
- **Mailing address phone:** (214) 222-2700
- **Mailing address fax:** (214) 222-2705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | L2924 | TX | Yes |

## Other

- **Enumeration date:** 03/23/2006
- **Last updated:** 08/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 163475001 | — | TX |
| 01 | — | DB7653 | RAILROAD MEDICARE | TX |