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General NPI Number Information
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NPI Number | 1881120913
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Entity Type | Individual
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Provider Name | MUSTAFA MONIS PA
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Gender | Male
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Dates
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Enumeration Date | 05/10/2017
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5939 BABCOCK RD STE 112
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City | SAN ANTONIO
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State | TX
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Zip | 78240-2199
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Country | US
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Telephone | 210-874-5260
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Fax | 210-864-4838
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Provider Business Mailing Address
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Address Line | 8522 BROADWAY STE 216
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City | SAN ANTONIO
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State | TX
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Zip | 78217-6456
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Country | US
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Telephone | 210-874-5260
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Fax | 210-864-4838
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA11292
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License Number State | TX
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