Individual
TARIK AL-KALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12606 GREENVILLE AVE STE 205, DALLAS, TX 75243-1927
(214) 971-8802
(949) 703-7227
Mailing address
12606 GREENVILLE AVE STE 205, DALLAS, TX 75243-1927
(214) 971-8802
(949) 703-7227
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1174887624
MI
208600000X
Surgery Physician
2018025701
MO
208600000X
Surgery Physician
Primary
S1034
TX
Other
Enumeration date
11/19/2012
Last updated
09/11/2024
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