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Individual

MOHAMAD ABDALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A77865
CA
207L00000X
Anesthesiology Physician
Primary
P8104
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8ED613
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/29/2006
Last updated
07/27/2022
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