Individual
ELMOUTAZ TAWFIG MOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3708 22ND PL UNIT 1, LUBBOCK, TX 79410-1353
(806) 771-7412
(806) 771-7414
Mailing address
PO BOX 54136, LUBBOCK, TX 79453-4136
(806) 771-1386
(806) 771-1388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q4474
TX
207RN0300X
Nephrology Physician
Primary
Q4474
TX
Other
Enumeration date
06/09/2008
Last updated
07/21/2022
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