Individual
OSAMA ABOUL-FETTOUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DEPARTMENT OF ANESTHESIOLOGY, DALLAS, TX 75235-7701
(214) 456-6393
(214) 456-7232
Mailing address
1935 MEDICAL DISTRICT DR, DEPARTMENT OF ANESTHESIOLOGY, DALLAS, TX 75235-7701
(214) 456-6393
(214) 456-7232
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M6994
TX
207LP3000X
Pediatric Anesthesiology Physician
M6994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07935714
—
MS
05
—
2010977 01
—
TX
Enumeration date
09/28/2006
Last updated
10/27/2021
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