Healthcare Provider Details

I. General information

NPI: 1609893262
Provider Name (Legal Business Name): SARI NABULSI MD LTD LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 W WADLEY AVE
MIDLAND TX
79707-5055
US

IV. Provider business mailing address

5801 W WADLEY AVE
MIDLAND TX
79707-5055
US

V. Phone/Fax

Practice location:
  • Phone: 432-699-2636
  • Fax: 432-699-4134
Mailing address:
  • Phone: 432-699-2636
  • Fax: 432-699-4134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SARI A NABULSI
Title or Position: DIRECTOR
Credential: MD
Phone: 432-699-2636