Eid B. Mustafa

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EID B. MUSTAFA

Practice address

1201 Brook Ave
Wichita Falls, TX 76301-5601

Phone

(940) 322-1122

Fax

(940) 767-8918

NPI assigned

Nov 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eid B. Mustafa, MD

Title

Owner

Phone

(940) 322-1122

Specialties & licenses 1

Addresses

Other names 1

• Plastic Surgery Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932279239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015601",
            "telephone_number": "940-322-1122",
            "fax_number": "940-767-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015601",
            "telephone_number": "940-322-1122",
            "fax_number": "940-767-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EID B. MUSTAFA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "EID",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-322-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle A Egelston, COTA
• Tonya Lynn Egloff, DDS
• Eh of Fort Worth, LP
• Eh of Fort Worth, LP
• Katryna Ehlinger
• Eid B. Mustafa, MD PA
• Susann Edith Eirosius, LCSW
• Vivian Chidinma Ekechukwu, DO
• Sara Elchehabi, DO
• Karen Leann Elder

• Ambulatory Surgical Clinic/Center in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.