Individual
ABISOLA IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP/AGPCNP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2020023180
MO
363LA2200X
Adult Health Nurse Practitioner
22921
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
1055965
TX
363LW0102X
Women's Health Nurse Practitioner
2020023180
MO
Other
Enumeration date
09/02/2017
Last updated
08/04/2022
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