Organization
MAHASNEH MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAAM MAHASNEH MD (OPHTHALMOLOGIST)
(682) 622-0004
Entity
Organization
Contact information
Practice address
252 MATLOCK RD STE 348, MANSFIELD, TX 76063-4294
(682) 622-0004
(972) 572-0423
Mailing address
252 MATLOCK RD STE 348, MANSFIELD, TX 76063-4294
(682) 622-0004
(682) 628-2189
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/30/2020
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