Basic Information
| Provider Information | |||||||||
| NPI: | 1093205197 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | AL-DOURI | ||||||||
| FirstName: | ABDULHAMID | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2401 ALDRICH ST APT 247 | ||||||||
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| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787231727 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1500 RED RIVER ST | ||||||||
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| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787011918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123248355 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/14/2018 | ||||||||
| LastUpdateDate: | 01/25/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | BP10063736 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208D00000X | T0694 | TX | N | Allopathic & Osteopathic Physicians | General Practice | 207R00000X | T0694 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.