Individual
AL-MUNTASER BILLAH ABU ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-5111
(432) 335-5262
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-5111
(432) 335-5262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10025507
TX
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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