Individual provider · NPI-1
Borna Ethan Tabibian, MD
Neurological Surgery · Round Rock, TX
NPI number1295199685
StatusActive
Last updated in NPPESJul 3, 2023
Details
- NPI
- 1295199685
- Entity type
- Individual (NPI-1)
- Name
- Borna Ethan Tabibian
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2016
- Certification date
- Jul 3, 2023
- Last updated
- Jul 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | U4646 | TX | Yes |
Practice location
301 Seton Pkwy Ste 402Round Rock, TX 78665-8003
Phone 512-810-3080
Mailing address
301 Seton Pkwy Ste 402Round Rock, TX 78665-8003
Phone 512-810-3080
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.