Individual provider · NPI-1

Hana Maryam Tartibi, MD

Allergy & Immunology · Denton, TX

NPI number1972733996
StatusActive
Last updated in NPPESMar 16, 2021

Details

NPI
1972733996
Entity type
Individual (NPI-1)
Name
Hana Maryam Tartibi
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2009
Certification date
Mar 16, 2021
Last updated
Mar 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207K00000X Allergy & ImmunologyP3083TXYes
208M00000X HospitalistP3083TX
207R00000X Internal MedicineP3083TX
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2617 Scripture St Ste 101
Denton, TX 76201-2398

Phone 940-382-4142 · Fax 940-382-7620

Mailing address

2617 Scripture St Ste 101
Denton, TX 76201-2398

Phone 940-382-4142 · Fax 940-382-7620

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