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Individual

ADEL ASAAD IBRAHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
605 S CONROE MEDICAL DR, CONROE, TX 77304-4722
(936) 539-4004
(936) 539-3635
Mailing address
605 S CONROE MEDICAL DR, CONROE, TX 77304-4722
(936) 539-4004
(936) 539-3635

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M9366
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
M9366
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1997512-02
TX
Enumeration date
07/31/2008
Last updated
03/07/2023
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