MEDICARE: DR. MOHAMED SABER ABDEL-REHIM M.D.

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
1	207Q00000X	Family Medicine Physician	P7055	TX

General Provider Information

NPI Number	:	1588895429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMED SABER ABDEL-REHIM M.D.

Provider Business Mailing Address
First Line	:	PO BOX 734812
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-4812
Country	:	US
Telephone Number	:	210-358-9500
Fax Number	:	210-358-9183

Provider Business Practice Location Address
First Line	:	4522 FREDERICKSBURG RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-6521
Country	:	US
Telephone Number	:	210-732-1802
Fax Number	:	210-732-1804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2009
Last Update Date	:	04/03/2023

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