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NPI Code Detail

MEDICARE: DR. ROLAND ABOU JAOUDE MD

MEDICARE:  DR. ROLAND  ABOU JAOUDE  MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics PhysicianT9617TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235360314
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROLAND ABOU JAOUDE MD
Provider Business Mailing Address
First Line : 12377 MERIT DR STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75251-3126
Country : US
Telephone Number : 972-957-3000
Fax Number :
Provider Business Practice Location Address
First Line : 3044 OLD DENTON RD STE 138
Second Line :
City : CARROLLTON
State : TX
Zip : 75007-5099
Country : US
Telephone Number : 972-245-0007
Fax Number : 972-245-9272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2009
Last Update Date : 03/06/2023

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Directions to “ DR. ROLAND ABOU JAOUDE MD” Practice Location

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