Basic Information
Provider Information
NPI: 1962136424
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DABBOUS
FirstName: HELENE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4210 FAIRMOUNT ST APT 4013
Address2:  
City: DALLAS
State: TX
PostalCode: 752193582
CountryCode: US
TelephoneNumber: 9454447498
FaxNumber:  
Practice Location
Address1: 1935 MEDICAL DISTRICT DR
Address2:  
City: DALLAS
State: TX
PostalCode: 752357701
CountryCode: US
TelephoneNumber: 2144567000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/11/2022
LastUpdateDate: 07/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/11/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207YP0228XBP10077847TXY Allopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology

No ID Information.


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