Organization
MICHAEL TABA MD PA
Active
Organization
MICHAEL TABA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TABA MD (OWNER)
(972) 964-2626
Entity
Organization
Contact information
Practice address
1705 OHIO DR, SUITE 200, PLANO, TX 75093-5255
(972) 758-3598
Mailing address
1705 OHIO DR, SUITE 200, PLANO, TX 75093-5255
(972) 758-3598
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024PU
BCBS
TX
01
—
0046EY
BCBS
TX
Enumeration date
06/17/2006
Last updated
07/29/2008
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