Individual
NIDAL JIHAD MOUKADDAM
Active
Individual
NIDAL JIHAD MOUKADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M0833
TX
2084P0804X
Child & Adolescent Psychiatry Physician
M0833
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174171201
—
TX
05
—
174171203
—
TX
01
—
8AN210
BCBS
TX
Enumeration date
08/30/2006
Last updated
09/02/2010
Update your record
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