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NPI Code Detail

MEDICARE: DALIA MORAD MD

MEDICARE: DALIA MORAD 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
1208000000XPediatrics PhysicianU7245TX

General Provider Information

NPI Number : 1720657570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALIA MORAD MD
Provider Business Mailing Address
First Line : 2990 N BROADWAY AVE
Second Line :
City : TYLER
State : TX
Zip : 75702-2149
Country : US
Telephone Number : 903-593-1892
Fax Number :
Provider Business Practice Location Address
First Line : 214 E HOUSTON ST
Second Line :
City : TYLER
State : TX
Zip : 75702-8131
Country : US
Telephone Number : 903-535-9041
Fax Number : 903-533-1747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2021
Last Update Date : 02/02/2026

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1619042322 — MS. MARGO LYN SCOTT BSW, LBSW
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Directions to “ DALIA MORAD MD” Practice Location

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