Provider Demographics
NPI:1124468855
Name:DFW OBA PLLC
Entity type:Organization
Organization Name:DFW OBA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-722-8703
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:TX
Mailing Address - Zip Code:76073-0190
Mailing Address - Country:US
Mailing Address - Phone:469-713-9353
Mailing Address - Fax:940-626-4455
Practice Address - Street 1:3861 LONG PRAIRIE RD
Practice Address - Street 2:SUITE 109
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1569
Practice Address - Country:US
Practice Address - Phone:972-350-0225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty