Provider Demographics
NPI:1043566839
Name:TABET, RANIA (MD)
Entity Type:Individual
Prefix:DR
First Name:RANIA
Middle Name:
Last Name:TABET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RANIA
Other - Middle Name:
Other - Last Name:HARB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1315 ST JOSEPH PKWY
Mailing Address - Street 2:STE 1205
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8235
Mailing Address - Country:US
Mailing Address - Phone:713-559-5200
Mailing Address - Fax:
Practice Address - Street 1:4704 MONTROSE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-6122
Practice Address - Country:US
Practice Address - Phone:713-333-0151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2017-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ6794207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX355075801-355075802Medicaid