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NPI Code Detail

MEDICARE: SABA SUHAIL DO

MEDICARE: SABA SUHAIL DO
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
1207Q00000XFamily Medicine PhysicianS9421TX

General Provider Information

NPI Number : 1184073991
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABA SUHAIL DO
Provider Business Mailing Address
First Line : 2201 SE LOOP 820
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-5863
Country : US
Telephone Number : 817-730-0000
Fax Number :
Provider Business Practice Location Address
First Line : 2201 SE LOOP 820
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-5863
Country : US
Telephone Number : 817-730-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2016
Last Update Date : 01/13/2026

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Directions to “ SABA SUHAIL DO” Practice Location

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