MEDICARE: ALEX MOMPOINT MD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1477835254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEX MOMPOINT MD PLLC

Provider Business Mailing Address
First Line	:	3839 MCKINNEY AVE STE 155-256
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-1413
Country	:	US
Telephone Number	:	402-658-3459
Fax Number	:

Provider Business Practice Location Address
First Line	:	3839 MCKINNEY AVE STE 155-256
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-1413
Country	:	US
Telephone Number	:	402-658-3459
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALEX MOMPOINT
Credential	:	M.D.
Telephone Number	:	402-658-3459

Provider Enumeration Date	:	09/16/2011
Last Update Date	:	11/07/2018

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