Individual
MR. NIDAL GANIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18450 HIGHWAY 59 N, HUMBLE, TX 77338-4404
(281) 446-6656
(281) 446-6657
Mailing address
18450 HIGHWAY 59 N, HUMBLE, TX 77338-4404
(281) 446-6656
(281) 446-6657
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
Q8059
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104244680
—
TX
01
—
8PZ112
BCBS
TX
Enumeration date
04/02/2014
Last updated
01/29/2024
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