Provider Demographics
NPI:1912130667
Name:IBRAHIM, RANIA (DO)
Entity type:Individual
Prefix:DR
First Name:RANIA
Middle Name:
Last Name:IBRAHIM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:129 VISION PARK BLVD
Mailing Address - Street 2:STE 310
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3024
Mailing Address - Country:US
Mailing Address - Phone:936-441-8635
Mailing Address - Fax:936-756-4288
Practice Address - Street 1:500 MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE 222
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2889
Practice Address - Country:US
Practice Address - Phone:936-441-8635
Practice Address - Fax:936-756-4288
Is Sole Proprietor?:No
Enumeration Date:2009-08-28
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN3747207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology