Individual
AHMAD SABOUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4602 67TH ST, LUBBOCK, TX 79414-5002
(806) 993-7040
Mailing address
4602 67TH ST, LUBBOCK, TX 79414-5002
(806) 993-7040
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M4503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193653601
—
TX
01
—
81474245
NM MEDICAID
NM
Enumeration date
11/13/2006
Last updated
03/26/2023
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