Individual
ISMAEL S MOHAMED ZAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12101 DESSAU RD APT 1105, AUSTIN, TX 78754-2086
(201) 982-3404
Mailing address
12101 DESSAU RD APT 1105, AUSTIN, TX 78754-2086
(201) 982-3404
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/10/2017
Last updated
07/21/2022
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