MEDICARE: NADEEM HAQ M.D.

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	207W00000X	Ophthalmology Physician	L8360	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558301770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADEEM HAQ M.D.

Provider Business Mailing Address
First Line	:	3311 UNICORN LAKE BLVD
Second Line	:	SUITE 181
City	:	DENTON
State	:	TX
Zip	:	76210-0102
Country	:	US
Telephone Number	:	940-323-2020
Fax Number	:	940-323-2011

Provider Business Practice Location Address
First Line	:	3311 UNICORN LAKE BLVD
Second Line	:	SUITE 181
City	:	DENTON
State	:	TX
Zip	:	76210-0102
Country	:	US
Telephone Number	:	940-323-2020
Fax Number	:	940-323-2011

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	10/03/2012

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