Individual
MR. RABAH ALI ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
446 HIGHLAND BLVD, RICHARDSON, TX 75081-4210
(214) 642-6794
Mailing address
446 HIGHLAND BLVD, RICHARDSON, TX 75081-4210
(214) 642-6794
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
22463213
TX
Other
Enumeration date
05/21/2024
Last updated
05/22/2024
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