Individual
MR. IBRAHIM NIMER KHATTAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
7125 RAMADA DR, EL PASO, TX 79912-2725
(915) 587-6218
Mailing address
7125 RAMADA DR, EL PASO, TX 79912-2725
(915) 587-6218
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
615168
TX
163WI0500X
Infusion Therapy Registered Nurse
Primary
615168
TX
Other
Enumeration date
09/23/2007
Last updated
09/23/2007
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