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Organization

MICHAEL TABA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL M TABA MD (OWNER)
(972) 964-2626
Entity
Organization

Contact information

Practice address
1705 OHIO DR, SUITE 200, PLANO, TX 75093-5255
(972) 964-2626
(972) 964-8180
Mailing address
1705 OHIO DR, SUITE 200, PLANO, TX 75093-5255
(972) 758-3595
(972) 599-9604

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024PU
BCBS
TX
05
194743402
TX
01
DO0757
RAILROAD
TX
Enumeration date
01/29/2007
Last updated
02/03/2009
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