Provider Demographics
NPI:1144623828
Name:HASHAM & ASSOCIATES MD, P.A.
Entity type:Organization
Organization Name:HASHAM & ASSOCIATES MD, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAQ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-713-1399
Mailing Address - Street 1:PO BOX 631326
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-0017
Mailing Address - Country:US
Mailing Address - Phone:469-713-3019
Mailing Address - Fax:469-212-1399
Practice Address - Street 1:2000 ESTERS RD
Practice Address - Street 2:SUITE 140
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-9531
Practice Address - Country:US
Practice Address - Phone:469-713-1399
Practice Address - Fax:469-212-1399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9108207R00000X
TXP2996208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty