Individual
TAHIR S ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5801 OAKBEND TRL, SUITE 260, FORT WORTH, TX 76132-3923
(817) 346-6000
(817) 346-6009
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 346-6009
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L3553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040017899
RAILROAD MEDICARE
—
05
—
150356705
—
TX
Enumeration date
07/17/2006
Last updated
06/01/2012
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