Moses Tabe Ambilichu, MD

Psychiatrist in Garland, Texas · NPI 1073774238

Moses Tabe Ambilichu is one of 2 psychiatrists practicing in Garland, Texas. See all psychiatrists in Texas. Moses Tabe Ambilichu practices with Success Health System LLC.

Registry record (NPPES)

NPI: 1073774238
Type: Type 1 · Individual
Primary taxonomy: Psychiatry & Neurology, Psychiatry · 2084P0800X
Address on file: 3700 I 70 Dr SE Ste 110
Columbia, MO 65201-6587
(888) 410-5230
Enumerated: Jun 20, 2008
Record last updated: Oct 5, 2026
License states listed: GA, KS, MO, TX, WA

Medicare (CMS)

Enrollment: Medicare-enrolled in GA, KS, MO, TX, WI
Psychiatry
Revalidation due: No date set by CMS

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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history

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Practice locations

714 S Jupiter Rd Suite A
Garland, TX 75042
(888) 410-5230

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.