MEDICARE: ATHAR UI HAQ D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	5101019589	MI
2	208M00000X	Hospitalist Physician	Q0762	TX
3	207R00000X	Internal Medicine Physician	Q0762	TX

General Provider Information

NPI Number	:	1538448287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ATHAR UI HAQ D.O.

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-5347
Country	:	US
Telephone Number	:	146-489-7912
Fax Number	:	146-489-5312

Provider Business Practice Location Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-7208
Country	:	US
Telephone Number	:	214-645-0624
Fax Number	:	214-645-0078

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2011
Last Update Date	:	03/06/2026

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