Khateeb, Mazin A.
Khateeb, Mazin A. is an sole proprietor health care provider with primary practice located at 3235 Trawood Dr. Suite A, El Paso TX 79936. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Khateeb, Mazin A. can be contacted via phone (915) 545-1101.Contact Information
Primary practice address
3235 Trawood Dr. Suite A
El Paso TX 79936
Phone: (915) 545-1101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | F3679 | Texas |
Profile Details
| NPI number | 1396708756 |
|---|---|
| LBN Legal business name | Khateeb, Mazin A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2006 |
| Last updated | May 31st, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396708756 | NPPES |
| Texas | Other | 8AJ339 | BCBS OF TX |
| Texas | Other | P00080411 | BCBS OF TX |
| Texas | Other | 089636702 | BCBS OF TX |
| Texas | Other | 089636702 | BCBS OF TX |
| Texas | MEDICAID | 089636702 | BCBS OF TX |
| Texas | Other | 201012625 | BCBS OF TX |
| Texas | Other | 4364295 | BCBS OF TX |
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