Ibrahim Al-Hashimi, MD
Student in an Organized Health Care Education/Training Program in Tyler, TX. Individual provider (NPI-1).
NPI number1982341095
StatusActive
Last updated in NPPESMay 19, 2022
Details
- NPI
- 1982341095
- Entity type
- Individual (NPI-1)
- Name
- Ibrahim Al-Hashimi
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 19, 2022
- Certification date
- May 19, 2022
- Last updated
- May 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | BP10080541 | TX | Yes |
Practice location
11937 Us Highway 271Tyler, TX 75708-3154
Phone 903-877-7777
Mailing address
11937 Us Highway 271Tyler, TX 75708-3154
Phone 903-877-7777
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