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NPI Code Detail

MEDICARE: MR. RIAD ALI ABOUJAMOUS NP

MEDICARE: MR. RIAD ALI ABOUJAMOUS NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner647801TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00312692OTHERTXRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38N9215OTHERTXBCBS

General Provider Information

NPI Number : 1255386058
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RIAD ALI ABOUJAMOUS NP
Provider Business Mailing Address
First Line : 3002 N CLOSNER BLVD
Second Line : SUITE B
City : EDINBURG
State : TX
Zip : 78541-7162
Country : US
Telephone Number : 956-383-8300
Fax Number : 956-383-3006
Provider Business Practice Location Address
First Line : 3002 N CLOSNER BLVD
Second Line : SUITE B
City : EDINBURG
State : TX
Zip : 78541-7162
Country : US
Telephone Number : 956-383-8300
Fax Number : 956-383-3006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 08/14/2025

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