Organization
MUSTANG MULTISPECIALTY ACCOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMID MAHMOOD MD (OWNER)
(855) 541-2862
Entity
Organization
Contact information
Practice address
1104 E STATE HIGHWAY 152 UNIT 2, MUSTANG, OK 73064-5116
(855) 541-2862
(405) 716-4808
Mailing address
1104 E STATE HIGHWAY 152 UNIT 2, MUSTANG, OK 73064-5116
(855) 541-2862
(405) 716-4808
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
23361
OK
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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