Organization Active NPI

North Texas Diabetes & Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Lewisville, TX
National Provider Identifier
1609835925
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
L2924 Issued in TX
Legal business name
NORTH TEXAS DIABETES & ENDOCRINOLOGY
Practice address
190 Civic Cir
#272
Lewisville, TX 75067-3424
Phone
(214) 222-2700
Fax
(214) 222-2705
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Wasim A Haque, MD
Title
Owner Physician
Phone
(214) 222-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X L2924 TX Primary

Addresses

Primary practice location

190 Civic Cir
#272
Lewisville, TX 75067-3424

Mailing address

PO Box 293295
Lewisville, TX 75029-3295
Phone (214) 222-2700

Other identifiers 2

IdentifierTypeStateIssuer
163475001MedicaidTX
DB7653OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

4101 Kirkpatrick Ln
Ste 220
Flower Mound, TX 75028

4104 Kirkpatrick Ln
Flower Mound, TX 75028
Phone (214) 513-2300

4101 Kirkpatrick Ln
Ste 100
Flower Mound, TX 75028

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1609835925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293295",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750293295",
            "telephone_number": "214-222-2700",
            "fax_number": "214-222-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CIVIC CIR",
            "address_2": "#272",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673424",
            "telephone_number": "214-222-2700",
            "fax_number": "214-222-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS DIABETES & ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "WASIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "214-222-2700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "L2924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163475001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB7653",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.