MEDICARE: NABIL M. ATTAYA, M D 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	207RC0000X	Cardiovascular Disease Physician
2	207R00000X	Internal Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1982724217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NABIL M. ATTAYA, M D PA

Provider Business Mailing Address
First Line	:	2424 50TH ST RM 303
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79412-2561
Country	:	US
Telephone Number	:	806-797-8853
Fax Number	:	806-797-9407

Provider Business Practice Location Address
First Line	:	2424 50TH ST RM 303
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79412-2561
Country	:	US
Telephone Number	:	806-797-8853
Fax Number	:	806-797-9407

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. NABIL M. ATTAYA
Credential	:	M.D.
Telephone Number	:	806-797-8853

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	12/18/2008

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