Organization
ADVANCED PAIN & REHABILITATION ASSOCIATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED MAHMOUD MD (OWNER)
(508) 414-1464
Entity
Organization
Contact information
Practice address
613 S HIGHWAY 78 STE 200, WYLIE, TX 75098-5525
(469) 562-4232
(972) 201-9656
Mailing address
613 S HIGHWAY 78 STE 200, WYLIE, TX 75098-5525
(469) 562-4232
(972) 201-9656
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398214201
—
TX
Enumeration date
10/24/2018
Last updated
04/24/2024
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