Provider Demographics
NPI:1639303829
Name:AL-NASSIR, KALIL IBRAHIM (MD)
Entity type:Individual
Prefix:DR
First Name:KALIL
Middle Name:IBRAHIM
Last Name:AL-NASSIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1901 MEDI PARK DR STE 1018
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-2107
Mailing Address - Country:US
Mailing Address - Phone:806-677-2030
Mailing Address - Fax:806-350-6494
Practice Address - Street 1:1901 MEDI PARK DR STE 1018
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2107
Practice Address - Country:US
Practice Address - Phone:806-677-2030
Practice Address - Fax:806-350-6494
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP1443207RP1001X, 207RP1001X
MN52140207RC0200X
FLME121208207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1740535764OtherGROUP NPI
TXP1443OtherTEXAS LICENSE
TXP1443OtherTEXAS LICENSE
FLME121208OtherFLORIDA LICENSE
FLFA1567049OtherDEA
FLME121208OtherFLORIDA LICENSE
TX1740535764OtherGROUP NPI