Organization
M. EBADAT ALI, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED EBADAT ALI MD (PRESIDENT)
(817) 336-8773
Entity
Organization
Contact information
Practice address
1650 W ROSEDALE ST, SUITE 203, FORT WORTH, TX 76104-7400
(817) 336-8773
Mailing address
1650 W ROSEDALE ST, SUITE 203, FORT WORTH, TX 76104-7400
(817) 336-8773
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
E2970
TX
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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