Individual
DR. JAMIL AKHTAR ABBASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 525-1914
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2006006967
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
P4015
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204446603
—
MO
05
—
311795401
—
TX
01
—
752616977042
TRICARE
TX
01
—
8DJ982
BCBS
TX
Enumeration date
10/06/2006
Last updated
11/21/2014
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