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NPI Code Detail

MEDICARE: NAZIA H HAQUE DDS

MEDICARE: NAZIA H HAQUE DDS
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
11223G0001XGeneral Practice Dentistry22703TX

General Provider Information

NPI Number : 1639246911
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAZIA H HAQUE DDS
Provider Business Mailing Address
First Line : 2213 FIELD LN
Second Line :
City : BEDFORD
State : TX
Zip : 76021-7527
Country : US
Telephone Number : 817-896-5922
Fax Number : 817-354-7408
Provider Business Practice Location Address
First Line : 701 W BAILEY BOSWELL RD
Second Line : SUITE A
City : SAGINAW
State : TX
Zip : 76179-1007
Country : US
Telephone Number : 817-367-6453
Fax Number : 817-847-1194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 07/08/2007

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