Provider Demographics
NPI:1134549926
Name:MUSTAFA, HINDIYA
Entity type:Individual
Prefix:
First Name:HINDIYA
Middle Name:
Last Name:MUSTAFA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2302 LONE STAR RD STE 260
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-8754
Mailing Address - Country:US
Mailing Address - Phone:682-341-7330
Mailing Address - Fax:682-341-7332
Practice Address - Street 1:2302 LONE STAR RD STE 260
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-8754
Practice Address - Country:US
Practice Address - Phone:682-341-7330
Practice Address - Fax:682-341-7332
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-21
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXU0629207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program