Individual
DR. AZAN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST # MS -713, TEMPLE, TX 76508-0001
(254) 724-2366
(254) 724-8587
Mailing address
2401 S 31ST ST # MS -713, TEMPLE, TX 76508-0001
(254) 724-2366
(254) 724-8587
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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