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Individual

ISMAIL OLIVER MAINOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1935 MEDICAL DISTRICT DR STE EL200, DALLAS, TX 75235-7701
(601) 984-1000
Mailing address
605 MEADOW CREEK DR, ALLEN, TX 75002-2044

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
V9059
TX

Other

Enumeration date
04/12/2022
Last updated
06/25/2025
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