Individual provider Active NPI

Mohamad Deyaa Dabbagh, DO

  • Interventional Pain Medicine Physician
  • Tyler, TX
National Provider Identifier
1902433402
Registry record updated May 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
V8843 Issued in TX
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250613001182 TX Practitioner - Interventional Pain ManagementPractitioner - Psychiatry 7214351451 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Psychiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

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

LicenseStateTypeSpecialty
3206NVMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatry CurrentSince Dec 19, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 4, 2025 Accepting new patients
Psychplus Medical Associates, PLLC Psychiatry CurrentSince Dec 19, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 4, 2025 Accepting new patients
Jbutlermdphd PLLC Psychiatry CurrentSince Nov 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.