Provider Demographics
NPI:1679997282
Name:JABEEN, JAVARIA (DO)
Entity type:Individual
Prefix:DR
First Name:JAVARIA
Middle Name:
Last Name:JABEEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 JUSTIN RD
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-4323
Mailing Address - Country:US
Mailing Address - Phone:972-691-9800
Mailing Address - Fax:940-205-4454
Practice Address - Street 1:1651 JUSTIN RD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-4323
Practice Address - Country:US
Practice Address - Phone:972-691-9800
Practice Address - Fax:940-205-4454
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-18
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271944207Q00000X
TXQ2305207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Q8Q0OtherBLUE CROSS BLUE SHIELD
TX618721800OtherDEPARTMENT OF LABOR