Healthcare Provider Details

I. General information

NPI: 1073832523
Provider Name (Legal Business Name): ZUKA KHABBAZEH, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2010
Last Update Date: 07/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5517 N MCCOLL RD
MCALLEN TX
78504-2208
US

IV. Provider business mailing address

5517 N MCCOLL RD
MCALLEN TX
78504-2208
US

V. Phone/Fax

Practice location:
  • Phone: 956-664-1999
  • Fax:
Mailing address:
  • Phone: 956-664-1999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: ZUKA A KHABBAZEH
Title or Position: DOCTOR
Credential: M.D.
Phone: 956-664-1999