Tiara Abdul-Khaaliq
Individual provider Active NPI Family Nurse Practitioner · Dallas, TX
NPI 1023634664 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1023634664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1023634664 (TX)
- Practice address
- 4785 Asher PL
Dallas, TX 75204-6000 - Phone
- (620) 605-8201
- NPI assigned
- Jun 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1023634664 | TX | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1023634664 | TX | Yes |
Addresses
Primary practice location
4785 Asher PL
Dallas, TX 75204-6000
Mailing address
3167 Sanctuary Dr
Cedar Hill, TX 75104-4501
Phone (620) 605-8201
Other providers in Dallas, TX
- Ziad A Abdo
- Cherry A Abdou
- Omer Abdrabbuh
- Abdul Basit MD PLLC
- Nour Abdul Halim
- Wali Abdul
- Sofia Mohammad Abdulaziz
- Bassel Abdulkarim
- Ahmed Abdullah
- Farhan Abdullah
All providers in Dallas, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.