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NPI Code Detail

MEDICARE: MOHAMMAD TABA

MEDICARE: MOHAMMAD TABA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician48820TX

General Provider Information

NPI Number : 1013478502
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMAD TABA
Provider Business Mailing Address
First Line : 5303 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7208
Country : US
Telephone Number : 469-766-8646
Fax Number :
Provider Business Practice Location Address
First Line : 5303 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7208
Country : US
Telephone Number : 469-766-8646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2019
Last Update Date : 12/08/2025

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Directions to “ MOHAMMAD TABA ” Practice Location

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