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Organization
EID B. MUSTAFA
Active
Organization
EID B. MUSTAFA
Active
Other names
Plastic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EID B. MUSTAFA MD (OWNER)
(940) 322-1122
Entity
Organization
Contact information
Practice address
1201 BROOK AVE, WICHITA FALLS, TX 76301-5601
(940) 322-1122
(940) 767-8918
Mailing address
1201 BROOK AVE, WICHITA FALLS, TX 76301-5601
(940) 322-1122
(940) 767-8918
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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