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NABIL ANTON HABASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1250 8TH AVE STE 265, FORT WORTH, TX 76104-4124
(682) 200-8580
(682) 200-8581
Mailing address
PO BOX 190922, DALLAS, TX 75219-0922
(512) 763-4545
(512) 763-4546

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
35086203
OH
208200000X
Plastic Surgery Physician
N6334
TX
208600000X
Surgery Physician
35086203
OH
208600000X
Surgery Physician
N6334
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
N6334
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2638524
OH
Enumeration date
06/12/2006
Last updated
09/17/2021
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