Individual
ALI BUSOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2830 S HULEN ST # 365, FORT WORTH, TX 76109-1514
(817) 239-3915
Mailing address
2830 S HULEN ST # 365, FORT WORTH, TX 76109-1514
(469) 283-0076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T1308
TX
Other
Enumeration date
03/16/2018
Last updated
03/12/2026
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