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General NPI Number Information
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NPI Number | 1144894015
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Entity Type | Individual
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Provider Name | AHMED YOUSRY MOUSSA MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2021
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 923 COLLEGE AVE STE 101
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City | FORT WORTH
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State | TX
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Zip | 76104-3051
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Country | US
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Telephone | 817-697-4038
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Fax | 877-409-3962
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Provider Business Mailing Address
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Address Line | 1935 MEDICAL DISTRICT DR
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City | DALLAS
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State | TX
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Zip | 75235-7701
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Country | US
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Telephone | 214-456-6639
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | V9070
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License Number State | TX
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