Healthcare Provider Details

I. General information

NPI: 1144132432
Provider Name (Legal Business Name): IRVING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 SALMA JAMEEL CT
IRVING TX
75061-1356
US

IV. Provider business mailing address

3844 W PIONEER DR
IRVING TX
75061-8210
US

V. Phone/Fax

Practice location:
  • Phone: 816-916-1103
  • Fax:
Mailing address:
  • Phone: 816-916-1103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MOHAMMAD HUMAYUN KABIR
Title or Position: OWNER OF ENTITY
Credential: MD
Phone: 816-916-1103