Individual
MUZAMMIL MUSHTAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1100
Mailing address
200 W MAGNOLIA AVE STE 201, FT WORTH, TX 76104-7657
(817) 702-1100
(817) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
N9918
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8SE087
BCBS
TX
Enumeration date
06/25/2008
Last updated
02/08/2024
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