Individual
SHAFIK HANNA-MOUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 E MARSHALL AVE STE 5008, LONGVIEW, TX 75601-5557
(903) 315-4880
(903) 315-2833
Mailing address
PO BOX 4207, LONGVIEW, TX 75606-4207
(903) 315-4880
(903) 315-2833
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-114818
IL
207RC0000X
Cardiovascular Disease Physician
N7098
TX
207RI0011X
Interventional Cardiology Physician
Primary
N7098
TX
Other
Enumeration date
07/28/2006
Last updated
07/21/2022
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