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General NPI Number Information
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NPI Number | 1386177103
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Entity Type | Individual
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Provider Name | NEVEEN MOSTAFA M.D
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Gender | Female
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Dates
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Enumeration Date | 04/08/2017
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 4021 GARTH RD
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City | BAYTOWN
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State | TX
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Zip | 77521-3160
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Country | US
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Telephone | 832-480-8842
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Fax |
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Provider Business Mailing Address
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Address Line | 19200 SPACE CENTER BLVD APT 1722
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City | HOUSTON
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State | TX
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Zip | 77058-3853
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Country | US
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Telephone | 832-480-8842
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | S5710
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License Number State | TX
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