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NPI Code Detail

MEDICARE: AL MOLLABASHY, MD, PA

MEDICARE: AL MOLLABASHY, MD, PA
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
1207X00000XOrthopaedic Surgery PhysicianL9815TX

General Provider Information

NPI Number : 1467767723
Entity Type Code : Organization
Provider Name (Legal Business Name) : AL MOLLABASHY, MD, PA
Provider Business Mailing Address
First Line : 12230 COIT RD
Second Line : SUITE 100
City : DALLAS
State : TX
Zip : 75251-2306
Country : US
Telephone Number : 214-252-7020
Fax Number : 214-252-7025
Provider Business Practice Location Address
First Line : 12230 COIT RD
Second Line : SUITE 100
City : DALLAS
State : TX
Zip : 75251-2306
Country : US
Telephone Number : 214-252-7020
Fax Number : 214-252-7025
Authorized Official
Title or Position : OWNER
Name : AL MOLLABASHY
Credential : MD
Telephone Number : 214-252-7020
Provider Enumeration Date : 08/11/2010
Last Update Date : 08/24/2011

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Directions to “AL MOLLABASHY, MD, PA ” Practice Location

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