Individual
ANTONYOS MAHFOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761
(432) 640-2408
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-2408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S2634
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
S2634
TX
Other
Enumeration date
04/05/2016
Last updated
08/08/2022
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