Provider Demographics
NPI:1396784914
Name:HAQUE, SEEMA YASMEEN (MD)
Entity type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:YASMEEN
Last Name:HAQUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 250885
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-0885
Mailing Address - Country:US
Mailing Address - Phone:817-719-3769
Mailing Address - Fax:866-262-1819
Practice Address - Street 1:902 W RANDOL MILL RD
Practice Address - Street 2:SUITE 220
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2572
Practice Address - Country:US
Practice Address - Phone:817-719-3769
Practice Address - Fax:866-262-1819
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK90772084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147451206Medicaid
TX147451207Medicaid
TX143406003Medicaid
TX147451209Medicaid
TX147451210Medicaid
TX143406003Medicaid