Provider Demographics
NPI:1629787015
Name:LABIB, MAGY (PA-C)
Entity type:Individual
Prefix:
First Name:MAGY
Middle Name:
Last Name:LABIB
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 GRANGE HALL DR APT 5217
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-1950
Mailing Address - Country:US
Mailing Address - Phone:806-407-6611
Mailing Address - Fax:
Practice Address - Street 1:4941 GOLDEN TRIANGLE BLVD STE 911
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-4456
Practice Address - Country:US
Practice Address - Phone:817-779-3716
Practice Address - Fax:817-506-3569
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-15
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA16057363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty