# MUSTANG MULTISPECIALTY ACCOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205366853
- **Authorized official:** HAMID MAHMOOD MD (OWNER)
- **Authorized official phone:** (855) 541-2862

## Contact information

- **Practice address:** 1104 E STATE HIGHWAY 152 UNIT 2, MUSTANG, OK 73064-5116
- **Practice address phone:** (855) 541-2862
- **Practice address fax:** (405) 716-4808
- **Mailing address:** 1104 E STATE HIGHWAY 152 UNIT 2, MUSTANG, OK 73064-5116
- **Mailing address phone:** (855) 541-2862
- **Mailing address fax:** (405) 716-4808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | — | NULL | — |
| 163WG0000X | General Practice Registered Nurse | — | — | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 23361 | OK | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RI0200X | Infectious Disease Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |

## Other

- **Enumeration date:** 06/15/2017
- **Last updated:** 07/21/2022