Individual
DR. MOATAZ NIER EL-GHAMRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
(254) 724-7603
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
41258
KY
2085R0001X
Radiation Oncology Physician
Primary
Q4092
TX
2085R0203X
Therapeutic Radiology Physician
35.088922
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000550152
ANTHEM OF KENTUCKY
KY
Enumeration date
03/15/2007
Last updated
09/11/2020
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