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Contact Information

ABDUL RAHMAN Y ITANI, DO
729 WEST BEDFORD - EULESS RD.
SUITE 105
HURST, TX76053
 Phone: 817-952-3050
 Fax: 817-952-3053
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for ABDUL RAHMAN Y ITANI · (Male)

NPI # 1588736714
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/14/2006
Last updated 04/01/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # H8149
  • TX Medicaid 133604207
Hospital affiliation(s)
  • BAYLOR MEDICAL CENTER AT WAXAHACHIE - (Acute Care)
    1405 W JEFFERSON ST
    WAXAHACHIE, TX 75165
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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