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NPI Code Detail

MEDICARE: ABDELAZIZ MAHROUG

MEDICARE: ABDELAZIZ MAHROUG
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist52404TX

General Provider Information

NPI Number : 1578184032
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDELAZIZ MAHROUG
Provider Business Mailing Address
First Line : 3516 MANESH DR
Second Line :
City : IRVING
State : TX
Zip : 75062-3234
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 N COOPER ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-5540
Country : US
Telephone Number : 817-548-3474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2020
Last Update Date : 05/06/2020

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Directions to “ ABDELAZIZ MAHROUG ” Practice Location

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