Individual
SINA ABOUTALEBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3190 ANTILLEY RD, ABILENE, TX 79606-5015
(325) 672-5603
(325) 672-6570
Mailing address
3190 ANTILLEY RD, ABILENE, TX 79606-5015
(325) 672-5603
(325) 672-6570
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
N0588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8BZ800
BLUECROSS BLUESHIELD OF TEXAS
TX
Enumeration date
08/10/2007
Last updated
03/31/2015
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