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Organization
ABRAHAM T. FAKHOURI, M.D.
Active
Organization
ABRAHAM T. FAKHOURI, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABRAHAM T. FAKHOURI MD (MEMBER)
(702) 933-1485
Entity
Organization
Contact information
Practice address
861 CORONADO CENTER DR STE 220, HENDERSON, NV 89052-3992
(702) 933-1485
(702) 933-1490
Mailing address
861 CORONADO CENTER DR STE 220, HENDERSON, NV 89052-3992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14038
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20171542901
SOS BUSINESS LICENSE
NV
Enumeration date
10/30/2017
Last updated
01/04/2018
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