Eid B. Mustafa, Md Pa
LBN: Eid B. Mustafa, Md Pa
Eid B. Mustafa, Md Pa is an health care organization with primary practice located at 1201 Brook Avenue , Wichita Falls TX 76301-5601. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is the primary health care specialty.
Eid B. Mustafa, Md Pa can be contacted via phone (940) 322-1122, or through Stivers, Dawn via phone (940) 322-1122.
Contact Information
Primary practice address
1201 Brook Avenue
Wichita Falls TX 76301-5601
Phone: (940) 322-1122
Fax: (940) 767-8918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | G2792 | Texas |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | G2792 | Texas |
Profile Details
| NPI number | 1043302243 |
|---|---|
| LBN Legal business name | Eid B. Mustafa, Md Pa |
| DBA Doing business as | |
| Authorized official | Stivers, Dawn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jun 25th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043302243 | NPPES |
| Texas | Other | 240006708 | RR MEDICARE IDENTIFIER |
| Texas | MEDICAID | 171591401 | RR MEDICARE IDENTIFIER |
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