Individual
YASIN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 4TH ST # MS 8103, LUBBOCK, TX 79430-0002
(504) 450-4856
Mailing address
3601 4TH ST # MS 8103, LUBBOCK, TX 79430-0002
(806) 743-2800
(806) 743-4250
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
S0166
TX
Other
Enumeration date
07/07/2014
Last updated
10/28/2020
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