Organization
FAKHRI RETINA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MURTAZA MUSTAFA MANDVIWALA MD (PRESIDENT)
(832) 978-2273
Entity
Organization
Contact information
Practice address
13406 MEDICAL COMPLEX DR STE 110, TOMBALL, TX 77375-3330
(832) 978-2273
Mailing address
13406 MEDICAL COMPLEX DR STE 110, TOMBALL, TX 77375-3330
(832) 978-2273
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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