Individual
NADIM BIN ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
504 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(409) 539-1111
(409) 788-8044
Mailing address
PO BOX 200993, HOUSTON, TX 77216-0993
(281) 784-1111
(281) 784-1555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M0116
TX
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
M0116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457324972
TRICARE SOUTH
TX
05
—
1772659-02
—
TX
05
—
177265901
—
TX
05
—
177265906
—
TX
01
—
8P5092
BCBSTX PROV NO
TX
Enumeration date
02/08/2006
Last updated
03/26/2010
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