Organization
MICHAEL TABA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL M TABA MD (OWNER)
(972) 964-2626
Entity
Organization
Contact information
Practice address
7 MEDICAL PKWY, DALLAS, TX 75234-7829
(972) 964-2626
Mailing address
1705 OHIO DR, SUITE 200, PLANO, TX 75093-5255
(972) 758-3595
(972) 599-9604
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024PU
BCBS
TX
05
—
194743401
—
TX
05
—
288715001
—
TX
01
—
DO0757
RAILROAD
TX
Enumeration date
01/26/2007
Last updated
05/21/2012
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