Individual
MARIAN IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9652 HATHMAN LN, FORT WORTH, TX 76244-9538
(682) 583-8803
Mailing address
9652 HATHMAN LN, FORT WORTH, TX 76244-9538
(682) 583-8803
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
TX
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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