Elfadil Abdelmagid
Individual provider Active NPI Driver · San Antonio, TX
NPI 1144735002 · NPPES record last updated Dec 13, 2017
Key facts
- NPI
- 1144735002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 12205 Maverick Bluff St
San Antonio, TX 78247-3901 - Phone
- (210) 636-8685
- NPI assigned
- Dec 13, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
12205 Maverick Bluff St
San Antonio, TX 78247-3901
Mailing address
12205 Maverick Bluff St
San Antonio, TX 78247-3901
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.