Active NPI
Mohamad Deyaa Dabbagh, DO
- Interventional Pain Medicine Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- V8843
- Practice address
- 910 E Houston St Ste 230
Tyler, TX 75702-8364 - Phone
- (903) 606-7300
- Fax
- (903) 510-1180
- NPI assigned
- Mar 25, 2020
- Last updated
- May 10, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Psychiatry Physician | 2084P0800X | V8843 | TX | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | 3206 | NV | |
| Interventional Pain Medicine Physician | 208VP0014X | V8843 | TX | Primary |
Addresses
Primary practice location
910 E Houston St Ste 230
Tyler, TX 75702-8364
Mailing address
910 E Houston St Ste 230
Tyler, TX 75702-8364
Phone (903) 606-7300
Other practice location 1
9260 W Sunset Rd Ste 110
Las Vegas, NV 89148-4903
Phone (702) 916-6906
Other practice location 2
7808 Clodus Fields Dr
Dallas, TX 75251-2206
Phone (972) 991-9504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18780 Interstate 20
Canton, TX 75103-3593
Phone (903) 567-4841
3201 S Loop
Palestine, TX 75801-6901
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186
910 E Houston St
Tyler, TX 75702-8364
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3206 | NV | MD | Critical Care Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry of Texas PLLC | Psychiatry | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Psychplus Medical Associates, PLLC | Psychiatry | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Jbutlermdphd PLLC | Psychiatry | Current | Accepting new patients |
Locations
2700 Vissing Park Rd
Jeffersonvlle, IN 47130
Phone (812) 246-9809
270 Walton Way
Hopkinsville, KY 42240
Phone (270) 886-1919
3050 Rio Dosa Dr
Lexington, KY 40509
Phone (859) 268-6475
4225 Woods Pl
Abilene, TX 79602
Phone (325) 468-8782
1011 N Cooper St
Arlington, TX 76011
Phone (817) 261-3121
2225 Parker Rd
Carrollton, TX 75010
Phone (972) 236-6800
12221 Merit Dr
Ste 400
Dallas, TX 75251
Phone (972) 701-3626
3106 Swiss Ave
Dallas, TX 75204
Phone (214) 764-7986
6120 Swiss Ave
Unit 141347
Dallas, TX 75214
7808 Clodus Fields Dr
Dallas, TX 75251
Phone (972) 566-7260
2026 W University Dr
Denton, TX 76201
Phone (903) 783-0846
2000 Old Hickory Trl
Desoto, TX 75115
Phone (972) 223-2760
5680 Frisco Square Blvd
Frisco, TX 75034
Phone (469) 353-6454
7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109
100 W Hawkins Pkwy
Ste D
Longview, TX 75605
Phone (903) 212-2930
615 Clinic Dr
Longview, TX 75605
Phone (903) 212-3105
302 Gobblers Knob Rd
Lufkin, TX 75904
Phone (260) 407-8009
509 S Chestnut St
Lufkin, TX 75901
Phone (214) 334-6831
4650 W University Dr
McKinney, TX 75071
Phone (469) 885-8901
6601 W University Dr
McKinney, TX 75071
Phone (214) 592-0086
3300 S FM 1788
Midland, TX 79706
Phone (432) 561-5915
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
910 E Houston St
Ste 230
Tyler, TX 75702
Phone (903) 525-7300
5931 Crosslake Pkwy
Waco, TX 76712
Phone (254) 279-6199
Interoperability endpoints
- mdabbagh590085@christushealth.direct-ci.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778371200000",
"number": "1902433402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 E HOUSTON ST STE 230",
"city": "TYLER",
"state": "TX",
"postal_code": "757028364",
"telephone_number": "903-606-7300",
"fax_number": "903-510-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E HOUSTON ST STE 230",
"city": "TYLER",
"state": "TX",
"postal_code": "757028364",
"telephone_number": "903-606-7300",
"fax_number": "903-510-1180"
}
],
"practiceLocations": [
{
"address_1": "9260 W Sunset Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891484903",
"country_code": "US",
"telephone_number": "702-916-6906",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7808 Clodus Fields Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752512206",
"country_code": "US",
"telephone_number": "972-991-9504",
"fax_number": "214-774-5824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DABBAGH",
"first_name": "MOHAMAD",
"middle_name": "DEYAA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-25",
"last_updated": "2026-05-10",
"certification_date": "2026-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "V8843",
"primary": false
},
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "NV",
"license": "3206",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "V8843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.