Active NPI
Haitham Dababneh, MD
- Vascular Neurology Physician
- Edinburg, TX
National Provider Identifier
1568619708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 275745
- Practice address
- 5501 S McColl Rd
Edinburg, TX 78539-9152 - Phone
- (956) 362-8677
- NPI assigned
- Aug 19, 2008
- Last updated
- Jan 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | 275745 | NY | Primary |
Addresses
Primary practice location
5501 S McColl Rd
Edinburg, TX 78539-9152
Mailing address
5501 S McColl Rd
Edinburg, TX 78539-9152
Phone (956) 362-8677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275745 | NY | MD | Vascular Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453420800000",
"number": "1568619708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785399152",
"telephone_number": "956-362-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785399152",
"telephone_number": "956-362-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABABNEH",
"first_name": "HAITHAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2016-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "NY",
"license": "275745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
- CVS Pharmacy Inc (CVS Pharmacy #10405)
- CVS Pharmacy, Inc. (CVS Pharmacy #00248)
- Cynthia L. Ramirez (Cynthia L. Ramirez dba Mi Pueblito Adult Day Care)
- Cynthia M Salinas MD PA (South Texas Advanced Wound Care Specialists)
- Jacqueline Marie D'Arrigo, M.S., LPC
- Denise E Dacatimbang
- Daily Kindness Home Care, LLC
- Daniel & Max, LLC (Stanton Optical)
- Daniella Rodriguez-Rico M.D. PA
- Mark L Dantzker, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.