Individual
MRS. NABILA TABASSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
779 GRAPEVINE HWY, HURST, TX 76054-2805
(817) 428-7300
Mailing address
700 SH 121 BYP STE 175, LEWISVILLE, TX 75067-3700
(817) 428-7300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16728
TX
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
02/10/2023
Last updated
10/15/2023
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