Individual
DR. IBRAHIM MUFTAH EL NIHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(979) 696-2422
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
H6811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105208603
—
TX
01
—
8K7731
BLUE CROSS
TX
Enumeration date
04/10/2006
Last updated
07/22/2024
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