Individual
DR. MICHAEL M TABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1705 OHIO DR, SUITE 200, PLANO, TX 75093-5255
(972) 758-3598
Mailing address
1705 OHIO DR, STE 200, PLANO, TX 75093-5257
(972) 758-3598
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J6757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127430006
—
TX
05
—
127430007
—
TX
05
—
127430008
—
TX
01
—
8AD893
BCBS
TX
01
—
P00655487
RAILROAD
TX
Enumeration date
06/22/2006
Last updated
10/31/2018
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