Individual
MAYTHAM ABED AL-KUBAISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7777 FOREST LN BLDG D, DALLAS, TX 75230-2571
(972) 566-5600
Mailing address
4432 LAFITE LN, COLLEYVILLE, TX 76034-1477
(682) 554-5581
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.135831
IL
2080P0202X
Pediatric Cardiology Physician
036.135831
IL
2080P0202X
Pediatric Cardiology Physician
Primary
R2518
TX
Other
Enumeration date
06/26/2011
Last updated
03/01/2021
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