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NPI Code Detail

MEDICARE: MARYAM AL OBAIDI MD

MEDICARE: MARYAM AL OBAIDI 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 ProgramTX

General Provider Information

NPI Number : 1396693537
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYAM AL OBAIDI MD
Provider Business Mailing Address
First Line : 7309 DOVE COVE DR
Second Line :
City : SACHSE
State : TX
Zip : 75048-2152
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3301 MATLOCK RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-2908
Country : US
Telephone Number : 682-509-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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