Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ibraheem Azhar

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013854397

Ibraheem Azhar is a Student in an Organized Health Care Education/Training Program in Longview, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

701 E Marshall Ave Ste 400
Longview, TX 75601-5595
Phone: (903) 315-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (TX)

Record details

NPI number1013854397
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 4, 2026
Last updated in NPPESMay 4, 2026
Certification dateMay 3, 2026
Mailing address2852 Gibraltar St, Irving, TX 75062-5298

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