Individual
DR. AMBROSE ABOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 N OREGON ST, SUITE 500, EL PASO, TX 79902-3351
(915) 544-8844
(915) 544-7650
Mailing address
1900 N OREGON ST, SUITE 500, EL PASO, TX 79902-3351
(915) 544-8844
(915) 544-7650
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
F9119
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000V5525
—
NM
05
—
098415502
—
TX
05
—
098415503
—
TX
01
—
F9119
STATE LICENSE NUMBER
TX
Enumeration date
09/30/2005
Last updated
11/10/2009
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