Provider Demographics
NPI:1790171643
Name:BEG, MALIHA MOBEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MALIHA
Middle Name:MOBEEN
Last Name:BEG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2900 SAINT MICHAEL DR STE 401
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-5211
Mailing Address - Country:US
Mailing Address - Phone:903-614-5367
Mailing Address - Fax:903-614-5343
Practice Address - Street 1:2120 S WAYSIDE DR STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-3900
Practice Address - Country:US
Practice Address - Phone:713-803-1840
Practice Address - Fax:713-926-5852
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-07
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME136662207Q00000X
TXS4098207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX406554201Medicaid