Healthcare Provider Details

I. General information

NPI: 1679762405
Provider Name (Legal Business Name): WASIM AFZAL HAQUE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 LONG PRAIRIE RD
FLOWER MOUND TX
75028-2212
US

IV. Provider business mailing address

1512 TEASLEY LN
DENTON TX
76205-7282
US

V. Phone/Fax

Practice location:
  • Phone: 214-513-2300
  • Fax: 214-513-2333
Mailing address:
  • Phone: 214-513-2300
  • Fax: 214-513-2333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberL2924
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: