Individual ProviderMostafa Mohamed M I EyshaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4801 Alberta Ave # Msc51009, El Paso, TX 79905-2707(915) 215-4116PECOS EnrollmentBased on the most recent information from CMS, provider Mostafa Mohamed M I Eysha does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1114772290Provider TypeIndividualFull NameEysha, Mostafa Mohamed M ICredentialMDGenderMaleSole ProprietorNoEnumeration Date4/22/2024Last Updated6/25/2024Contact InformationPractice LocationPractice Address4801 Alberta Ave # Msc51009, El Paso, TX 79905-2707Phone(915) 215-4116FaxUnlisted FaxMailing LocationMailing Address4801 Alberta Ave # Msc51009, El Paso, TX 79905-2707Phone(915) 215-4116FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseBP10090523TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer