Individual
DR. HAMED ABDULSALAM SHABANEH AL-TAMIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2345 50TH ST # 500, LUBBOCK, TX 79412-2565
(806) 701-5797
(806) 701-5798
Mailing address
PO BOX 16770, LUBBOCK, TX 79490-6770
(806) 701-5797
(806) 701-5798
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M8330
TX
207RG0100X
Gastroenterology Physician
MD00042678
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147548100
FIRSTCARE COMMERCIAL
TX
05
—
147548101
—
TX
05
—
179160001
—
TX
05
—
200072300A
—
OK
01
—
202003136
PRESBYTERIAN COMMERCIAL
NM
05
—
202003136
—
NM
01
—
8M0735
HMO BLUE
TX
01
—
8U5052
BC/BS
TX
05
—
92629083
—
NM
Enumeration date
08/12/2006
Last updated
12/01/2021
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