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Individual

MOHAMAD KABACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
3001 E PRESIDENT GEORGE BUSH HWY STE 210, RICHARDSON, TX 75082-3552
(469) 913-9400
(469) 913-9420
Mailing address
3001 E PRESIDENT GEORGE BUSH HWY STE 210, RICHARDSON, TX 75082-3552
(469) 913-9400
(469) 913-9420

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
S5670
TX
207RI0011X
Interventional Cardiology Physician
Primary
S5670
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1811338361
NPI
TX
Enumeration date
07/12/2013
Last updated
02/03/2022
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