Individual
DR. MUSTAFA SUTERWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7200 STATE HIGHWAY 161 STE 100, IRVING, TX 75039-3800
(972) 853-5033
Mailing address
7200 STATE HIGHWAY 161, IRVING, TX 75039-4132
(972) 853-5033
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L6660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15926601
—
TX
Enumeration date
04/18/2006
Last updated
12/30/2022
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