Individual
MAI H OUSHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4672 N SONOMA RANCH BLVD STE B, LAS CRUCES, NM 88011-7271
(575) 556-1871
(575) 556-1872
Mailing address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2017-1022
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16331371
—
NM
Enumeration date
07/07/2015
Last updated
11/07/2018
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