Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | K2541 | TX |
Y | 2084N0400X | Neurologist | K2541 | TX |
NPI | 1154511871 |
---|---|
Provider Name | Muhammad Shahid Mustafa |
First Address | Houston, TX 77079-5210 |
Second Address | Houston, TX 77079-5210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 30/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F53952 | (02) |