Healthcare Provider Details

I. General information

NPI: 1912596503
Provider Name (Legal Business Name): NABEEL A AKRAM PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2021
Last Update Date: 01/18/2021
Certification Date: 01/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 DODSON ST
MIDLAND TX
79701-6334
US

IV. Provider business mailing address

301 DODSON ST
MIDLAND TX
79701-6334
US

V. Phone/Fax

Practice location:
  • Phone: 432-687-0235
  • Fax: 432-570-8713
Mailing address:
  • Phone: 432-687-0235
  • Fax: 432-570-8713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1163090
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: