Healthcare Provider Details

I. General information

NPI: 1700855640
Provider Name (Legal Business Name): MUHAMMAD TALIB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11901 TOEPPERWEIN RD SUITE 1401
LIVE OAK TX
78233-3161
US

IV. Provider business mailing address

11901 TOEPPERWEIN RD SUITE 1401
LIVE OAK TX
78233-3161
US

V. Phone/Fax

Practice location:
  • Phone: 210-599-1433
  • Fax: 210-599-1803
Mailing address:
  • Phone: 210-599-1433
  • Fax: 210-599-1803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberN6057
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberN6057
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: