Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | GET.201261 | LA |
Y | 207XX0801X | Orthopaedic Trauma Surgeon | Q6022 | TX |
NPI | 1023458536 |
---|---|
Provider Name | Dr. Ahmed Mohamed Thabet Thabe Hagag |
First Address | El Paso, TX 79905-2707 |
Second Address | El Paso, TX 79905-2707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2013 |
Last Update Date | 23/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01001748145 | PHONE NUMBER (01) | LA |
5044786075 | PHONE NUMBER (01) | LA |