Individual
MOUSTAFA ADNAN AL-MAKDAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
3613 MAIN PLAZA DR, HOUSTON, TX 77025-5947
(832) 207-6614
Mailing address
3613 MAIN PLAZA DR, HOUSTON, TX 77025-5947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139977
TX
Other
Enumeration date
12/13/2018
Last updated
12/13/2018
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