Individual
MAHMOUD KHALAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10541100
NJ
207R00000X
Internal Medicine Physician
MD469360
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
T1118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790149300
NPI
PA
05
—
1790149300
—
PA
Enumeration date
04/09/2016
Last updated
09/30/2024
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