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Individual

OMAR A HAQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1325 PENNSYLVANIA AVE STE 890, FORT WORTH, TX 76104-2145
(817) 250-7230
Mailing address
1325 PENNSYLVANIA AVE STE 890, FORT WORTH, TX 76104-2145
(817) 250-7230

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
P6629
TX
207RT0003X
Transplant Hepatology Physician
Primary
P6629
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
363009701
TX
Enumeration date
03/07/2008
Last updated
11/17/2021
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