Healthcare Provider Details

I. General information

NPI: 1346475498
Provider Name (Legal Business Name): ABDALLAH R DALABIH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 01/10/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3353 S ALAMEDA ST
CORPUS CHRISTI TX
78411
US

IV. Provider business mailing address

3353 S ALAMEDA ST
CORPUS CHRISTI TX
78411
US

V. Phone/Fax

Practice location:
  • Phone: 361-694-5933
  • Fax:
Mailing address:
  • Phone: 361-694-5933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberE-10520
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberU8311
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: