MEDICARE: AI INTERVENTIONAL LLC

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
1	207R00000X	Internal Medicine Physician
2	2085R0204X	Vascular & Interventional Radiology Physician

General Provider Information

NPI Number	:	1023983210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AI INTERVENTIONAL LLC

Provider Business Mailing Address
First Line	:	124 DEERFIELD CT
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-2906
Country	:	US
Telephone Number	:	214-299-5676
Fax Number	:	214-299-5676

Provider Business Practice Location Address
First Line	:	9947 N MACARTHUR BLVD # 150
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-4716
Country	:	US
Telephone Number	:	304-207-8329
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MOHAMMAD HALAIBEH
Credential	:	MD
Telephone Number	:	304-207-8329

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	02/26/2026

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Directions to “AI INTERVENTIONAL LLC ” Practice Location

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