Provider Demographics
NPI:1467451443
Name:KABEL, DAVID IRA (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:IRA
Last Name:KABEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2901 DALLAS PKWY
Mailing Address - Street 2:#330
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5980
Mailing Address - Country:US
Mailing Address - Phone:972-612-4428
Mailing Address - Fax:972-473-0225
Practice Address - Street 1:2901 DALLAS PKWY
Practice Address - Street 2:#330
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5980
Practice Address - Country:US
Practice Address - Phone:972-612-4428
Practice Address - Fax:972-473-0225
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ21192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00T78CMedicare ID - Type Unspecified
F50406Medicare UPIN