Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | N1880 | TX |
Y | 207Q00000X | Family Doctor | N1880 | TX |
N | 207Q00000X | Family Doctor | OS10117 | FL |
NPI | 1477728079 |
---|---|
Provider Name | Dr. Bibi Tasleyma Sattar |
First Address | Fort Worth, TX 76132-3912 |
Second Address | Fort Worth, TX 76132-3912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2008 |
Last Update Date | 02/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
199358601 | (05) | TX |
8BQ008 | BCBS (01) | TX |