Individual
ABULBASHER M FAIZULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1816 N MIDLAND DR, MIDLAND, TX 79707-6407
(432) 699-5111
(432) 588-0773
Mailing address
1816 N MIDLAND DR, MIDLAND, TX 79707-6407
(432) 699-5111
(432) 588-0773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G2695
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AG11
BCBS OF TEXAS
TX
01
—
G2695
LICENSE
TX
Enumeration date
07/14/2006
Last updated
07/23/2008
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