IndividualActive
Ibrahim Azrag
NPI 1073984985 · Driver · Antioch, TN
Provider details
- NPI number
- 1073984985
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 189601 (TN)
Specialties & taxonomies
Other Service Providers
Practice location
3120 Shady Tree Ln
Antioch, TN 37013-2482
Phone: (615) 585-3778
Fax: (206) 888-4011
Approximate (ZIP-level) locationGet directions
Mailing address
3120 Shady Tree Ln
Antioch, TN 37013-2482
Registry dates
- Enumerated
- 2015-10-19
- Last updated
- 2015-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.