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M. Ebadat Ali, Md, Pa
Medical Specialty Clinic/Center in Fort Worth, Texas
NPI 1568785186

M. Ebadat Ali, Md, Pa is a Medical Specialty Clinic/Center based in Fort Worth, TX and is specialized in Medical Specialty. M. Ebadat Ali, Md, Pa practices in Fort Worth, TX. The NPI Number for M. Ebadat Ali, Md, Pa is 1568785186 and holds a License No. E2970 (Texas).

The current practice location address for M. Ebadat Ali, Md, Pa is 1650 W Rosedale St, Fort Worth, TX and can be reached out via phone at 817-336-8773.

Location: 1650 W Rosedale St, Fort Worth, TX, 76104-7400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568785186
Provider Name
M. Ebadat Ali, Md, Pa
Credential
Provider Entity Type
Organization
Address
1650 W Rosedale St, Fort Worth, TX, 76104-7400
Phone Number
817-336-8773
Fax Number
Provider Enumeration Date
03/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1650 W Rosedale St
City
Fort Worth
State
Texas
Zip
76104-7400
Phone Number
817-336-8773
Fax Number
person
Provider Business Mailing Address Details
Address
1650 W Rosedale St
City
Fort Worth
State
Texas
Zip
76104-7400
Phone Number
817-336-8773
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
E2970 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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