MEDICARE: WASIM AFZAL HAQUE 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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	L2924	TX

General Provider Information

NPI Number	:	1679762405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WASIM AFZAL HAQUE M.D.

Provider Business Mailing Address
First Line	:	1512 TEASLEY LN
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-7282
Country	:	US
Telephone Number	:	214-513-2300
Fax Number	:	214-513-2333

Provider Business Practice Location Address
First Line	:	5401 LONG PRAIRIE RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-2212
Country	:	US
Telephone Number	:	214-513-2300
Fax Number	:	214-513-2333

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

Provider Enumeration Date	:	10/17/2007
Last Update Date	:	12/15/2025

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