Individual provider · NPI-1

Ehab Abdelaziz

Family Medicine · San Antonio, TX

NPI number1740972124
StatusActive
Last updated in NPPESMay 31, 2026

Details

NPI
1740972124
Entity type
Individual (NPI-1)
Name
Ehab Abdelaziz
Sex
Male
Sole proprietor
No
Enumeration date
May 23, 2023
Certification date
May 31, 2026
Last updated
May 31, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineW4398TXYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

12000 Huebner Rd
San Antonio, TX 78230-1213

Phone 210-561-2422

Mailing address

8434 Pico De Aguila
San Antonio, TX 78255-3377

Phone 210-543-7267

Other practice locations

530 S Maiden Ln
Joplin, MO 64801-3084

Phone 417-782-6200

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