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General NPI Number Information
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NPI Number | 1013127836
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Entity Type | Individual
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Provider Name | MUSTAPHA ALI KHALIFE MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 03/18/2020
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Provider Practice Location Address
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Address Line | 2000 PINE ST
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City | ABILENE
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State | TX
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Zip | 79601-2434
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Country | US
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Telephone | 253-670-6340
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Fax | 903-877-7825
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Provider Business Mailing Address
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Address Line | PO BOX 731912
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City | DALLAS
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State | TX
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Zip | 75373-1912
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Country | US
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Telephone | 903-877-7777
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | R5754
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License Number State | TX
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