Individual
DR. ISAM S KIBLAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2540 N GALLOWAY AVE, SUITE 204, MESQUITE, TX 75150-6306
(972) 686-1777
(972) 686-7330
Mailing address
2540 N GALLOWAY AVE, SUITE 204, MESQUITE, TX 75150-6306
(972) 686-1777
(972) 686-7330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F-5605
TX
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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