MEDICARE: LINA N. AL-DAHHAN MD PA.

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	208000000X	Pediatrics Physician	K2398	TX

General Provider Information

NPI Number	:	1386985141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINA N. AL-DAHHAN MD PA.

Provider Business Mailing Address
First Line	:	3704 DUSTY TRL
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-2742
Country	:	US
Telephone Number	:	409-767-1111
Fax Number	:	972-490-6189

Provider Business Practice Location Address
First Line	:	2825 BELT LINE RD STE 103
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-7011
Country	:	US
Telephone Number	:	469-814-0456
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	DR. LINA N. AL-DAHHAN
Credential	:	M.D.
Telephone Number	:	409-767-1111

Provider Enumeration Date	:	03/04/2013
Last Update Date	:	08/24/2022

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