Individual
DR. MINA BOUTROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6400 FANNIN ST, SUITE 2850, HOUSTON, TX 77030-1521
(713) 486-5100
Mailing address
6400 FANNIN ST, SUITE 2850, HOUSTON, TX 77030-1521
(713) 486-5100
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
064496
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/19/2014
Last updated
09/28/2022
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