Individual
MUSTAFA T AL-CHALABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2505
(972) 758-3523
(972) 599-9604
Mailing address
PO BOX 201606, DALLAS, TX 75320-1606
(972) 758-3523
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M1459
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175732001
—
TX
05
—
175732002
—
TX
05
—
175732003
—
TX
05
—
27939243
—
NM
01
—
8S2683
BCBS
TX
01
—
8S5974
BCBS
TX
01
—
8W0187
BCBS
TX
01
—
P00273729
RAILROAD
TX
01
—
P00373924
RAILROAD
TX
Enumeration date
12/07/2005
Last updated
06/03/2008
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