Individual provider Active NPI

Anwar Haque, M.D.

  • Family Medicine Physician
  • Irving, TX
National Provider Identifier
1508962739
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301088949 Issued in MI
Practice address
7936 N. Macarthur Blvd.
Apt.# 3129
Irving, TX 75063-3753
Phone
(972) 910-0726
Fax
(972) 910-0726
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301088949 MI Primary

Addresses

Primary practice location

7936 N. Macarthur Blvd.
Apt.# 3129
Irving, TX 75063-3753

Mailing address

7936 N. Macarthur Blvd.
Apt.# 3129
Irving, TX 75063-3753
Phone (972) 910-0726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130607000478 TX Order and Referring Only - Family PracticePractitioner - Family Practice 8921246679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301088949MIMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508962739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7936 N. MACARTHUR BLVD.",
            "address_2": "APT.# 3129",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633753",
            "telephone_number": "972-910-0726",
            "fax_number": "972-910-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7936 N. MACARTHUR BLVD.",
            "address_2": "APT.# 3129",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633753",
            "telephone_number": "972-910-0726",
            "fax_number": "972-910-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "ANWAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301088949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.