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General NPI Number Information
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NPI Number | 1790697977
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Entity Type | Organization
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Legal Business Name | INTERSTELLAR PEDIATRIC PULMONOLOGY PLLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 1440 GEORGE DIETER DR STE C
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City | EL PASO
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State | TX
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Zip | 79936-7601
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Country | US
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Telephone | 915-262-4354
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Fax | 915-262-4355
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Provider Business Mailing Address
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Address Line | 1500 FINSTERWALD PL
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City | EL PASO
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State | TX
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Zip | 79936-6011
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Country | US
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Telephone | 915-433-1747
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Fax |
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Authorized Official
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Title or Position | OWNER/MD
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Name | DR. BRIAN K MAHMOOD
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Credential | MD
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Telephone | 915-262-4354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number |
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License Number State |
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