MEDICARE: HALIM FADIL M.D.

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	2084N0400X	Neurology Physician	Q0629	TX
2	2084N0400X	Neurology Physician	PENDING	LA
3	2084N0400X	Neurology Physician	01077756A	IN

General Provider Information

NPI Number	:	1982814570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALIM FADIL M.D.

Provider Business Mailing Address
First Line	:	801 ROAD TO SIX FLAGS W STE 127
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-2600
Country	:	US
Telephone Number	:	817-697-8000
Fax Number	:	817-697-8800

Provider Business Practice Location Address
First Line	:	801 ROAD TO SIX FLAGS W STE 127
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-2600
Country	:	US
Telephone Number	:	817-697-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	10/10/2022

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