Individual
IBRAHIM MAHMOUD ABUMARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP
Contact information
Practice address
118 BOX OAK, SHAVANO PARK, TX 78230-5626
(915) 227-7457
Mailing address
118 BOX OAK, SHAVANO PARK, TX 78230-5626
(915) 227-7457
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP124995
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP124995
TX
363LG0600X
Gerontology Nurse Practitioner
AP124995
TX
363LP2300X
Primary Care Nurse Practitioner
AP124995
TX
Other
Enumeration date
05/19/2014
Last updated
10/31/2025
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