Individual
REBHI A AWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 N GALLOWAY AVE, MESQUITE, TX 75149-2433
(214) 320-7008
(972) 480-9024
Mailing address
4777 US HIGHWAY 259, LONGVIEW, TX 75605-7668
(903) 663-4800
(903) 663-7394
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J0431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118724701
—
TX
01
—
P00059285
RRMA
TX
Enumeration date
04/26/2006
Last updated
12/13/2011
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