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Individual

ABDELRAHMAN ALY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
604 HIGHWAY 290 W, BRENHAM, TX 77833-5432
(979) 421-2000
(979) 421-9678
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
68774
MN
207RC0000X
Cardiovascular Disease Physician
D0085664
MD
207RC0000X
Cardiovascular Disease Physician
Primary
R7161
TX

Other

Enumeration date
03/26/2012
Last updated
12/10/2024
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