Individual
ABDIKAFAR IBRAHIM MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-0001
(214) 633-5555
Mailing address
6201 HARRY HINES BLVD, DALLAS, TX 75390-0001
(214) 633-5555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16753
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/07/2022
Last updated
05/02/2023
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