Individual
MR. SAMER IZZAT JIFI-BAHLOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L0304
TX
207RN0300X
Nephrology Physician
Primary
L0304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046256601
—
TX
01
—
74-2617515
TAX ID
TX
Enumeration date
06/26/2006
Last updated
09/08/2014
Update your record
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