Individual
BUSHRA MAHMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 E EDINBURG AVE STE A, ELSA, TX 78543-3009
(817) 529-8151
Mailing address
100 E 15TH ST STE 520, FORT WORTH, TX 76102-6566
(817) 529-8151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40800
TX
Other
Enumeration date
04/05/2022
Last updated
07/23/2024
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