Organization
EID B. MUSTAFA
Active
Other names
Plastic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EID B. MUSTAFA MD (OWNER)
(940) 322-1122
Entity
Organization
Contact information
Practice address
1201 BROOK AVE, WICHITA FALLS, TX 76301-5601
(940) 322-1122
(940) 767-8918
Mailing address
1201 BROOK AVE, WICHITA FALLS, TX 76301-5601
(940) 322-1122
(940) 767-8918
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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