Fakhoury, Ibrahim S

Fakhoury, Ibrahim S is an individual health care provider with primary practice located at 1904 Pine St Suite 4B, Abilene TX 79601-2449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fakhoury, Ibrahim S can be contacted via phone (325) 670-4494.

Contact Information

Primary practice address
1904 Pine St Suite 4B Abilene TX 79601-2449
Phone: (325) 670-4494
Fax: (325) 670-4497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X K4680 Texas

Profile Details

NPI number 1245226927
LBN Legal business name Fakhoury, Ibrahim S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Dec 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245226927 NPPES
Texas MEDICAID 043839202
Texas Other 1245226927

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