Individual
DR. MAHMOUD N SOUBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4007
(512) 901-3907
Mailing address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4937
(512) 901-3945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39553
IA
207RG0100X
Gastroenterology Physician
MD-39553
IA
207RG0100X
Gastroenterology Physician
Primary
S4060
TX
Other
Enumeration date
07/11/2008
Last updated
02/09/2022
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