Individual
MAZIN A. KHATEEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3235 TRAWOOD DR., SUITE A, EL PASO, TX 79936
(915) 545-1101
Mailing address
205 W BOUTZ RD, BLDG #1, LAS CRUCES, NM 88005-3262
(575) 532-7000
(575) 532-7006
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F3679
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089636702
SUPERIOR HEALTH
TX
05
—
089636702
—
TX
01
—
201012625
PRESBYTERIAN HEALTH
NM
01
—
4364295
AETNA
—
01
—
8AJ339
BCBS OF TX
TX
01
—
P00080411
RR MEDICARE
—
Enumeration date
04/07/2006
Last updated
05/31/2011
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