Provider Demographics
NPI:1609868777
Name:NABULSI, NEFOUS KAMAL (MD)
Entity Type:Individual
Prefix:DR
First Name:NEFOUS
Middle Name:KAMAL
Last Name:NABULSI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1751
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79702-1751
Mailing Address - Country:US
Mailing Address - Phone:432-699-2636
Mailing Address - Fax:432-699-4134
Practice Address - Street 1:1020 ANDREWS HWY
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-3811
Practice Address - Country:US
Practice Address - Phone:432-699-2636
Practice Address - Fax:432-699-4134
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8757208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7056175OtherAETNA
TX4723098OtherCIGNA
TX2001955OtherUNITED HEALTH CARE
TX8E9661OtherBLUE CROSS BLUE SHIELD
TX111970OtherCHIPS
TX2001955OtherUNITED HEALTH CARE