Individual
IBRAHIM FUAD IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD., DALLAS, TX 75390-7201
(214) 633-5555
(214) 648-1955
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(469) 291-2841
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
N6372
TX
207RH0003X
Hematology & Oncology Physician
Primary
N6372
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339636801
—
TX
01
—
8EN191
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/19/2007
Last updated
04/05/2024
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