Individual
IBRAHIM S FAKHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1904 PINE ST, SUITE 4B, ABILENE, TX 79601-2449
(325) 670-4494
(325) 670-4497
Mailing address
1904 PINE ST, SUITE 4B, ABILENE, TX 79601-2449
(325) 670-4494
(325) 670-4497
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
K4680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043839202
—
TX
01
—
1245226927
FIRST CARE
TX
Enumeration date
09/27/2005
Last updated
12/16/2011
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