# PURE NUR MEDSPA PLLC

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

## Provider details

- **NPI number:** 1578304036
- **Authorized official:** UMAR R MAHMOOD DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (361) 360-3264

## Contact information

- **Practice address:** 2700 CITIZENS PLZ STE 207, VICTORIA, TX 77901-5755
- **Practice address phone:** (361) 360-3264
- **Practice address fax:** (361) 232-4600
- **Mailing address:** 2700 CITIZENS PLZ STE 207, VICTORIA, TX 77901-5755
- **Mailing address phone:** (361) 360-3264
- **Mailing address fax:** (361) 232-4600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2024
- **Last updated:** 06/06/2024