Provider Demographics
NPI:1851100614
Name:TABIB PLLC
Entity type:Organization
Organization Name:TABIB PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISMAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HADER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:346-537-5999
Mailing Address - Street 1:12320 BARKER CYPRESS RD
Mailing Address - Street 2:STE 600 #1052
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8323
Mailing Address - Country:US
Mailing Address - Phone:346-537-5999
Mailing Address - Fax:346-537-5997
Practice Address - Street 1:24518 NORTHWEST FWY STE 355
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2358
Practice Address - Country:US
Practice Address - Phone:346-537-5999
Practice Address - Fax:346-537-5997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty