Individual
ALI MAZLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21216 NORTHWEST FWY STE 100, CYPRESS, TX 77429
(832) 912-3650
Mailing address
21216 NORTHWEST FWY STE 100, CYPRESS, TX 77429-1439
(832) 912-3650
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
P9905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361394501
—
TX
Enumeration date
05/14/2011
Last updated
09/28/2018
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