Individual
DR. IBRAHIM YAZJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22999 HIGHWAY 59 N STE 200, KINGWOOD, TX 77339
(281) 312-6457
(281) 312-5128
Mailing address
22999 HIGHWAY 59 N STE 200, KINGWOOD, TX 77339-4439
(281) 312-6457
(813) 125-1282
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME133566
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
R9705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021890700
—
FL
Enumeration date
01/07/2010
Last updated
11/06/2019
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