Individual
MOHAMMED KHALID MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
24165 IH 10 W STE 300, SAN ANTONIO, TX 78257-1161
(210) 687-1072
Mailing address
24165 IH 10 W STE 300, SAN ANTONIO, TX 78257-1161
(210) 687-1072
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
335842
TX
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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