Individual
MAZEN I ALHAMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
2311 N MESA ST, STE C, EL PASO, TX 79902-3575
(915) 545-1101
Mailing address
205 W BOUTZ RD, BLDG # 1, LAS CRUCES, NM 88005-3262
(575) 532-7000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
07-339
TX
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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