Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | M2637 | TX |
NPI | 1023044658 |
---|---|
Provider Name | Faisal E Haq |
First Address | Plano, TX 75093-1629 |
Second Address | Dallas, TX 75204-2399 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2006 |
Last Update Date | 28/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
193805201 | (05) | TX |
H92553 | (02) | TX |