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Individual

SAMY MAMDOUH MOHAMED HESHMAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2401 S 31ST ST, TEMPLE, TX 76508-3641
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
61070
MN
208800000X
Urology Physician
E-10949
AR
208800000X
Urology Physician
Primary
U0488
TX
2088P0231X
Pediatric Urology Physician
12523
ND
2088P0231X
Pediatric Urology Physician
274247
MA
2088P0231X
Pediatric Urology Physician
57.012388
OH

Other

Enumeration date
07/31/2007
Last updated
11/28/2023
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