Individual
DR. AMMAR ANSARUL HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3571 W WHEATLAND RD, SUITE 101, DALLAS, TX 75237-3461
(972) 274-5555
(972) 274-5563
Mailing address
3571 W WHEATLAND RD, SUITE 101, DALLAS, TX 75237-3461
(972) 274-5555
(972) 274-5563
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P4060
TX
207RN0300X
Nephrology Physician
Primary
P4060
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3081408-03
—
TX
Enumeration date
06/16/2007
Last updated
06/02/2022
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