Provider Demographics
NPI:1184983686
Name:ALGHROUZ, MOHAMMAD ISSA (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:ISSA
Last Name:ALGHROUZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:810 HOSPITAL DR STE 115
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4633
Mailing Address - Country:US
Mailing Address - Phone:409-212-5933
Mailing Address - Fax:409-212-5915
Practice Address - Street 1:740 HOSPITAL DR STE 260
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4669
Practice Address - Country:US
Practice Address - Phone:409-212-7860
Practice Address - Fax:409-835-7005
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10043719207R00000X
TXQ9933207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine