Individual
DR. SYED TAHA MUNTAJIBUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-6200
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R8793
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
R8793
TX
Other
Enumeration date
04/27/2015
Last updated
08/01/2023
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