Individual
DR. HABIB MOHAMMAD-HUSSEIN GHADDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 E 6TH ST, SUITE 204, WESLACO, TX 78596-4204
(956) 969-0021
(956) 698-9744
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J2579
TX
207RX0202X
Medical Oncology Physician
J2579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137030601
—
TX
05
—
137030602
—
TX
05
—
137030603
—
TX
01
—
137030605
CSHCN
TX
01
—
137030606
CSHCN
TX
05
—
137030607
—
TX
01
—
137030609
CSHCN
TX
01
—
8R1443
BLUE CROSS OF TEXAS
TX
Enumeration date
06/04/2006
Last updated
01/31/2018
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