Basic Information
| Provider Information | |||||||||
| NPI: | 1104261619 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ALI | ||||||||
| FirstName: | BABIKER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2200 BUSINESS CENTER DR APT 10110 | ||||||||
| Address2: | |||||||||
| City: | PEARLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775841367 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155287522 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6100 HARRIS PKWY | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761324101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8172504906 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2013 | ||||||||
| LastUpdateDate: | 02/03/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Q3630 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.