Individual
FADWA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75235-7202
(214) 633-5555
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 633-5555
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
T3576
TX
208C00000X
Colon & Rectal Surgery Physician
A169818
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
T3576
TX
Other
Enumeration date
07/11/2013
Last updated
04/11/2023
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