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NPI Code Detail

MEDICARE: TAREK SHIHAB MD

MEDICARE: TAREK SHIHAB 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine PhysicianT9635TX

General Provider Information

NPI Number : 1043707862
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAREK SHIHAB MD
Provider Business Mailing Address
First Line : 5219 CITY BANK PKWY STE 35
Second Line :
City : LUBBOCK
State : TX
Zip : 79407-3545
Country : US
Telephone Number : 806-761-0333
Fax Number :
Provider Business Practice Location Address
First Line : 602 INDIANA AVE
Second Line :
City : LUBBOCK
State : TX
Zip : 79415-3364
Country : US
Telephone Number : 806-743-9098
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2018
Last Update Date : 03/06/2026

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Directions to “ TAREK SHIHAB MD” Practice Location

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