Individual
HATEM AHMED NOUR EL DEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3101 S AUSTIN AVE, GEORGETOWN, TX 78626-7541
(512) 666-4480
Mailing address
1605 GEORGE DIETER DR, STE 636, EL PASO, TX 79936-5692
(512) 666-4480
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N3212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12301
—
ND
05
—
207289401
—
TX
01
—
26703
NDBCBS
—
05
—
659463800
—
MN
01
—
91G41NO
MNBCBS
—
01
—
N3212
TEXAS LICENSE
TX
Enumeration date
05/19/2006
Last updated
07/14/2025
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