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Dr. Nabil Baradhi

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NPI Number Detailed Information

Provider Information:

Name: Dr. Nabil Baradhi
Gender: M
Provider License Number If Given: H7694

NPI Information:

NPI: 1699774117
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 4/21/2015

Provider Business Mailing Address:

Address: 215 OAK DR S SUITE L
Lake Jackson, TX 77566
Phone Number: 9792975481
Fax Number: 9792971924

Provider Business Practice Location Address:

Address: 215 OAK DR S SUITE L
Lake Jackson, TX 77566
Phone Number: 9792975481
Fax Number: 9792971924

Provider Taxonomy:

Primary: 174400000X
Secondary (if any): 207RC0000X
State: TX

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