Individual
DR. DEBRA DIANE TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 715-5000
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J2361
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050052504
RAILROAD- MEDICARE
TX
05
—
136003404
—
TX
05
—
136006404
—
TX
01
—
1548804
LA- MEDICAID
LA
01
—
83374F
TX-BLUE SHIELD
—
Enumeration date
01/19/2007
Last updated
07/30/2020
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