IndividualActive
Bushra Mahmoud
NPI 1093456725 · General Practice Dentistry · Elsa, TX
Provider details
- NPI number
- 1093456725
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 40800 (TX)
Specialties & taxonomies
Dental Providers
Practice location
512 E Edinburg Ave Ste a
Elsa, TX 78543-3009
Phone: (817) 529-8151
Approximate (ZIP-level) locationGet directions
Mailing address
100 E 15th St Ste 520
Fort Worth, TX 76102-6566
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2024-07-23
- Certified
- 2024-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.