DR. HABIBOOLA NIAMATALI (NPI# 1730262692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730262692 |
| Entity Type | Individual |
| Full Name | DR. HABIBOOLA NIAMATALI |
| Other Name | DR. HABIBOOLA NIAMATALI |
| Credential | M.D |
| Practice Address |
2121 Northwest Hwy Suite#103 Garland TX 75041-4858 |
| Mailing Address |
10003 Hickory Xing Dallas TX 75243-4615 |
| Practice Telephone | 9728408599 |
| Practice Fax Number | 9729269970 |
| Mailing Telephone | 9728408599 |
| Mailing Fax Number | 9729269970 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G1133 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 112103002 | 05 | |
| TX | MEDICAID THSTEP | 112103003 | 01 |
| Street Address |
2121 NORTHWEST HWY SUITE#103 |
| City | GARLAND |
| State | TX |
| Zip Code | 75041-4858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639546872 | Gamma Dental Associates, P.C. | Dentist | 2121 Northwest Hwy, Suite 112, Garland, TX 75041-4858 | 2015-08-24 |
| 1770950917 | Emma's Education Center | Private Vehicle | 2121 Northwest Hwy, Ste 119, Garland, TX 75041-4858 | 2015-08-24 |
| 1528443710 | Marie Josee Queneau | Social Worker | 2121 Northwest Hwy, Suite 119, Garland, TX 75041-4858 | 2015-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984922 | Vitora Ventures Inc | Pharmacy | 138 W. Centerville Rd # 100, Garland, TX 75041 | 2020-05-20 |
| 1699095620 | Bevan Wayne Heaton | Dentist | 1501 W. Miller Road, Suite 180, Garland, TX 75041 | 2010-06-01 |
| 1649592064 | Yuenan Shen | Pathology | 1918 E Miller Rd, Suite 101, Garland, TX 75041 | 2010-02-26 |
| 1417105271 | Laura Beth Ackerman | Speech-Language Pathologist | 2625 Anita Dr., Garland, TX 75041 | 2008-09-05 |
| 1760522031 | South First Dental,pc | Dentist | 3109 South First Street, Garland, TX 75041 | 2007-02-07 |
| 1396840328 | Jane Elizabeth Williamson | Counselor | 629 W Centerville, Suite 205, Garland, TX 75041 | 2006-09-14 |
| 1902900038 | Michael Allen Musso | Dentist | 513 W Centerville Road, Garland, TX 75041 | 2006-09-11 |
| 1538263652 | Musso Family Dentistry | Dentist | 513 West Centerville Rd, Garland, TX 75041 | 2006-09-11 |
| 1285738534 | Robert Rushing Jr. | Audiologist | 2625 Anita, Garland, TX 75041 | 2006-09-08 |
| 1932203288 | Kristi Amyx | Occupational Therapist | 2625 Anita Dr, Garland, TX 75041 | 2006-09-08 |
| Find all providers in zip 75041 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764162 | Avery James LLC | Family Medicine | 6330 Broadway Blvd Ste C, Garland, TX 75043-5956 | 2019-08-06 |
| 1831665272 | Md24 Tx, Pa | Family Medicine | 675 Town Square Blvd Ste 200, Garland, TX 75040-2991 | 2018-10-23 |
| 1255822383 | Mixon Integrated Health Pllc | Family Medicine | 1919 S Shiloh Rd Ste 107, Garland, TX 75042-8234 | 2018-05-24 |
| 1568982304 | Wholistic Healthcare Solutions: Mind, Body & Spirit, Pllc | Family Medicine | 6309 Fallbrook Dr, Garland, TX 75043-5920 | 2017-06-22 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1194179580 | Kai-soon Yang | Family Medicine | 4430 Lavon Dr Ste 350, Garland, TX 75040-2976 | 2016-04-21 |
| 1407286040 | Rose Garden Housecall Services, LLC | Family Medicine | 829 Villa Ridge Dr, Garland, TX 75043-2660 | 2013-11-18 |
| 1265704779 | Medical Billing Usa | Family Medicine | 4141 Easton Meadows Dr, 202, Garland, TX 75043-2048 | 2012-01-30 |
| 1417243247 | Chene Tamyron Smith | Family Medicine | 5345 N George Bush Hwy, Garland, TX 75040-2767 | 2011-06-20 |
| 1649596396 | The Medical Equipment Group, Inc. | Family Medicine | 5915 Murphy Rd Ste 100, Garland, TX 75048-2825 | 2010-04-19 |
| Find all providers in GARLAND | ||||
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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.