Mina, Maged M

Mina, Maged M is an individual health care provider with primary practice located at 18626 Hardy Oak Blvd Ste 230, San Antonio TX 78258-4210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Mina, Maged M can be contacted via phone (210) 402-6561.

Contact Information

Primary practice address
18626 Hardy Oak Blvd Ste 230 San Antonio TX 78258-4210
Fax: (210) 402-6815
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X K8345 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X K8345 Texas

Profile Details

NPI number 1184618472
LBN Legal business name Mina, Maged M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Oct 14th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184618472 NPPES
Texas MEDICAID 119263504

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