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Organization
M. EBADAT ALI, MD, PA
Active
Organization
M. EBADAT ALI, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED EBADAT ALI MD (PRESIDENT)
(817) 336-8773
Entity
Organization
Contact information
Practice address
1650 W ROSEDALE ST, SUITE 203, FORT WORTH, TX 76104-7400
(817) 336-8773
Mailing address
1650 W ROSEDALE ST, SUITE 203, FORT WORTH, TX 76104-7400
(817) 336-8773
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
E2970
TX
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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