Individual provider · Type 1 NPI
Mustafa Mustafa, DPM
Foot & Ankle Surgery Podiatrist · Southlake, TX
NPI number
1104529015
Active
Practice location
1940 E State Highway 114
Southlake, TX 76092-6526
Fax (817) 442-8637
Other practice locations
- 22201 Moross Rd Ste 250, Detroit, MI 48236-2175 · (313) 343-3423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 692306 (TX) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
Other foot & ankle surgery podiatrist providers in Southlake
- Paul Andrew Steinke, D.P.M.Foot & Ankle Surgery Podiatrist Southlake, TX NPI 1578709648
- Charleen Marie Handzel, D.P.MFoot & Ankle Surgery Podiatrist Southlake, TX NPI 1881695278
- Michael Wayne Downey, D.P.M.Foot & Ankle Surgery Podiatrist Southlake, TX NPI 1932467396
- Brady Mallory, D.P.M.Foot & Ankle Surgery Podiatrist Southlake, TX NPI 1992069777
About NPI 1104529015
Mustafa Mustafa, DPM's National Provider Identifier is 1104529015, issued on Mar 22, 2023. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Southlake, TX. The record was last updated on Jun 1, 2026.