MEDICARE: BUSHRA MAHMOOD NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	1089382	TX

General Provider Information

NPI Number	:	1114654456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BUSHRA MAHMOOD NP

Provider Business Mailing Address
First Line	:	307 E 4TH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2691
Country	:	US
Telephone Number	:	832-419-0464
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 YALE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-3753
Country	:	US
Telephone Number	:	713-861-6060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2022
Last Update Date	:	08/05/2022

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Directions to “ BUSHRA MAHMOOD NP” Practice Location

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