ABDULLAH MUBARAK (NPI# 1336109925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336109925 |
| Entity Type | Individual |
| Full Name | ABDULLAH MUBARAK |
| Credential | MD |
| Practice Address |
910 E Houston St Ste 550 Tyler TX 75702-8366 |
| Mailing Address |
9 Medical Pkwy Po Box 260993 Plano TX 75026 |
| Practice Telephone | 9036068718 |
| Practice Fax Number | 9036061218 |
| Mailing Telephone | 4693177703 |
| Mailing Fax Number | 4696098033 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2019-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0008X |
Internal Medicine Specialization: Hepatology |
M5390 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RT0003X |
Internal Medicine Specialization: Transplant Hepatology |
M5390 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 185822701 | 05 | |
| TX | 185822706 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9 Medical Parkway, Plaza 4, Ste 206, Dallas, TX 75234 | 4693077703 | 4696098033 |
| Street Address |
910 E HOUSTON ST STE 550 |
| City | TYLER |
| State | TX |
| Zip Code | 75702-8366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285619205 | Xiaotuan Zhao | Internal Medicine | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2005-12-13 |
| 1164994430 | Piyapas Niramolphisal Dudo | Nurse Practitioner | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2018-12-26 |
| 1003398157 | Jacob G Thoele | Nurse Practitioner | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2018-09-05 |
| 1740784594 | Tamaka Trenda Martin | Nurse Practitioner | 910 E Houston St Ste 550, Tyler, TX 75702 | 2018-03-19 |
| 1851805055 | David Alan Stephens | Nurse Practitioner | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2017-11-27 |
| 1790111490 | Laurean Jada Winston | Physician Assistant | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2013-09-25 |
| 1033411269 | Neily Louise Wheeler | Dietitian, Registered | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2010-11-19 |
| 1932203197 | Trinity Clinic Surgery | Surgery | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2006-09-11 |
| 1184660086 | Jannine Purcell | Nurse Practitioner | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2006-06-21 |
| 1669435921 | Erin Thompson | Dietitian, Registered | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2006-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 207RT0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Transplant Hepatology |
| An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982159745 | Transplant Hepatology & Gi Pllc | Internal Medicine | 1707 Nelson Dr, Irving, TX 75038-5963 | 2016-08-22 |
| 1831452606 | Preethi Martha Reddy | Internal Medicine | 6400 Fannin St, Suite 1400, Houston, TX 77030-1521 | 2012-06-18 |
| 1275890410 | Themistoklis Kourkoumpetis | Internal Medicine | 1 Baylor Plz, Houston, TX 77030-3411 | 2012-04-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.