Provider Demographics
NPI:1700367141
Name:NABIH, KARIM
Entity Type:Individual
Prefix:
First Name:KARIM
Middle Name:
Last Name:NABIH
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:KARIM
Other - Middle Name:
Other - Last Name:NABIH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4917 RAVENSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-4317
Mailing Address - Country:US
Mailing Address - Phone:210-673-2761
Mailing Address - Fax:
Practice Address - Street 1:4917 RAVENSWOOD DR.
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227
Practice Address - Country:US
Practice Address - Phone:210-673-2761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225200000X
TX2082386225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant