Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | R5754 | TX |
NPI | 1013127836 |
---|---|
Provider Name | Mustapha Ali Khalife |
First Address | Dallas, TX 75373-1912 |
Second Address | Abilene, TX 79601-2434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 18/03/2020 |