Individual
IBRAHIM TAWFIQ FAKHOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
861 CORONADO CENTER DR STE 220, HENDERSON, NV 89052-3992
(702) 933-1485
(702) 933-1490
Mailing address
861 CORONADO CENTER DR STE 220, HENDERSON, NV 89052-3992
(702) 933-1485
(702) 933-1490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14038
NV
207Q00000X
Family Medicine Physician
MD2010-0739
NM
207Q00000X
Family Medicine Physician
MD443512
PA
207Q00000X
Family Medicine Physician
ME 109981
FL
Other
Enumeration date
06/10/2008
Last updated
02/08/2018
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