Organization
HABASH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMEEN HABASH MD (PHYSICIAN)
(817) 484-0222
Entity
Organization
Contact information
Practice address
1100 E SOUTHLAKE BLVD, SUITE 250, SOUTHLAKE, TX 76092-6357
(817) 484-0222
Mailing address
PO BOX 190922, DALLAS, TX 75219-0922
(817) 484-0222
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
P1459
TX
Other
Enumeration date
11/26/2012
Last updated
08/25/2014
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