Healthcare Provider Details

I. General information

NPI: 1235577800
Provider Name (Legal Business Name): RAMY MAHMOUD MOHAMED SABE MBBCH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2013
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1759 BROAD PARK CIR S STE 201
MANSFIELD TX
76063-7834
US

IV. Provider business mailing address

20800 HARVARD RD 2ND FLR
HIGHLAND HILLS OH
44122-7251
US

V. Phone/Fax

Practice location:
  • Phone: 682-341-3910
  • Fax: 682-400-1288
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License NumberW5952
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number35-121606
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: