Local City Search for Surgeons and Surgical Clinics EID B. MUSTAFA, MD PA
Surgery Yellow Pages
Wichita Falls, Texas
Provider NPI: 1043302243
Organization Information:Organization Name: EID B. MUSTAFA, MD PA
Practice Location:
1201 BROOK AVENUE WICHITA FALLS, TX 76301 US
Tel: 940-322-1122 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1201 BROOK AVENUE WICHITA FALLS, TX 76301 US
Tel: 940-322-1122 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 2082S0105X | Physicians Plastic Surgery Surgery of the Hand | TX | G2792 |
| Y | 2086S0122X | Physicians Surgery | TX | G2792 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 171591401 | TX | 05 | |
| RR MEDICARE IDENTIFIER | 240006708 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
