Organization
MUKHTAR ANEES M.D. P.A.
Active
Other names
Southwest Gastroenterology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUKHTAR ANEES MD (EXECUTIVE OFFICER)
(817) 293-9292
Entity
Organization
Contact information
Practice address
701 E. RENDON-CROWLEY RD, BURLESON, TX 76028
(817) 293-9292
(817) 551-0616
Mailing address
701 E. RENDON-CROWLEY RD, BURLESON, TX 76028
(817) 293-9292
(817) 551-0616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F5142
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180088001
—
TX
01
—
DD9505
MEDICARE RR
TX
Enumeration date
05/30/2006
Last updated
01/03/2008
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