Most Relevant Information
Provider Data
| NPI Number: | 1003338054 |
| Provider Name: | TABBIE MBAYE NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1025178 |
Most Important Dates
| Enumeration Date: | 07/12/2017 |
| Last Updated: | 08/09/2021 |
Provider Practice Location
403 MALLARD LN
TAYLOR
TX
765741210
Practice Location Phone/Fax
| Phone: | 5123525251 |
| Fax: |
Provider Mailing Location
PO BOX 844658
DALLAS
TX
752844658
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |