Doctor Name: | MAHWISH MUSHTAQ |
NPI Number: | 1063726909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 47251-S |
Business Practice Address: | 2002 Holcombe Blvd Rm 4-b370 Houston, TX - 770304211 |
Business Phone Number: | 7137947384 |
Business Fax Number: | |
Mailing Address: | 16331 Yabbie Dr, SUGAR LAND |
State: | TX |
Postal Code: | 774987631 |
Phone Number: | 8322313884 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2010 |
NPI Last Update Date: | 08/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 47251-S |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ZZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |