Individual
ALLAN MAHOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE ST MARKS PLACE, LAGRANGE, TX 78945-2040
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 863534, ORLANDO, FL 32886-3534
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H6400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8H4093
BCBS
TX
01
—
P00162025
RAILROAD MEDICARE
TX
Enumeration date
10/12/2006
Last updated
11/06/2007
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