Active NPIIndividual providerSole proprietor

Tiara Abdul-Khaaliq

Nurse Practitioner, Family in Dallas, Texas

NPI Number1023634664
Practice location
4785 Asher Pl, Dallas, TX 75204-6000
Fax
—
Last updated
October 7, 2024

Tiara Abdul-Khaaliq is a Nurse Practitioner, Family based in Dallas, TX. The NPI number for Tiara Abdul-Khaaliq is 1023634664 and holds license No. 1023634664 (TX). The current practice location address is 4785 Asher Pl, Dallas, TX 75204-6000 and the office can be reached by phone at 620-605-8201. The NPI was assigned on June 19, 2020 and the record was last updated in NPPES on October 7, 2024.

●Provider Profile Details

NPI Number
1023634664
Provider Name
Tiara Abdul-Khaaliq
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Enumeration Date
June 19, 2020
Last Update Date
October 7, 2024
Certification Date
October 7, 2024
NPI Status
Active

◉Business Practice Location Address

Address
4785 Asher Pl
Dallas, TX 75204-6000
City
Dallas
State
Texas
ZIP
75204-6000
Country
US
Phone Number
620-605-8201

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✉Business Mailing Address

Address
3167 Sanctuary Dr
Cedar Hill, TX 75104-4501
City
Cedar Hill
State
TX
ZIP
75104-4501
Phone Number
620-605-8201

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Family363LF0000XYes1023634664TX

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Tiara Abdul-Khaaliq?

The NPI number of Tiara Abdul-Khaaliq is 1023634664. It was assigned on June 19, 2020 and is currently active in the NPPES registry.

What is the specialty of Tiara Abdul-Khaaliq?

Tiara Abdul-Khaaliq is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X) and holds license No. 1023634664 (TX).

Where does Tiara Abdul-Khaaliq practice?

The practice location is 4785 Asher Pl, Dallas, TX 75204-6000. The office can be reached at 620-605-8201 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023634664 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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