Provider Demographics
NPI:1982814570
Name:FADIL, HALIM (MD)
Entity Type:Individual
Prefix:
First Name:HALIM
Middle Name:
Last Name:FADIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 ROAD TO SIX FLAGS W STE 127
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-2600
Mailing Address - Country:US
Mailing Address - Phone:817-697-8000
Mailing Address - Fax:817-697-8800
Practice Address - Street 1:801 ROAD TO SIX FLAGS W STE 127
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2600
Practice Address - Country:US
Practice Address - Phone:817-697-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ06292084N0400X
LAPENDING2084N0400X
IN01077756A2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology