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NPI Code Detail

MEDICARE: SAMIR MUSLEH MD

MEDICARE: SAMIR MUSLEH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianS7734TX
2207R00000XInternal Medicine Physician4301080010MI

General Provider Information

NPI Number : 1033157110
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMIR MUSLEH MD
Provider Business Mailing Address
First Line : 1301 PENNSYLVANIA AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2122
Country : US
Telephone Number : 817-250-4906
Fax Number :
Provider Business Practice Location Address
First Line : 1300 W TERRELL AVE STE K230
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3104
Country : US
Telephone Number : 817-250-4906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 09/05/2024

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