Most Relevant Information
Provider Data
| NPI Number: | 1003687609 |
| Provider Name: | MARIAN IBRAHIM |
| Entity Type: | Individual |
| Taxonomy Code: | 343800000X |
| Specialty: | Secured Medical Transport (VAN) |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/11/2024 |
| Last Updated: | 01/11/2024 |
Provider Practice Location
9652 HATHMAN LN
FORT WORTH
TX
762449538
Practice Location Phone/Fax
| Phone: | 6825838803 |
| Fax: |
Provider Mailing Location
9652 HATHMAN LN
FORT WORTH
TX
762449538
Provider Mailing Phone/Fax
| Phone: | 6825838803 |
| Fax: |