Individual
ANTONY IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13155 NOEL RD STE 1900, DALLAS, TX 75240-5052
(817) 247-3728
Mailing address
102 SETON RD, IRVINE, CA 92612-2100
(949) 241-4991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T9708
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
09/20/2022
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