Organization
IBYAH ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASEM ABDELFATTAH (ADMIN)
(972) 999-1659
Entity
Organization
Contact information
Practice address
7150 GREENVILLE AVE STE 101, DALLAS, TX 75231-5165
(972) 999-1659
(205) 729-5887
Mailing address
PO BOX 497319, GARLAND, TX 75049-7319
(972) 999-1659
(205) 729-5887
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
07/13/2021
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