Individual
YASIR MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 HUECO VALLEY DR APT 4903, EL PASO, TX 79938-5457
(804) 901-3590
Mailing address
3700 HUECO VALLEY DR APT 4903, EL PASO, TX 79938-5457
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
37963690
TX
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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