NPI Code Details Logo

NPI 1487768172

NPI 1487768172 : AYASS LUNG CLINIC, PLLC : FRISCO, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1487768172
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AYASS LUNG CLINIC, PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/18/2006
-----------------------------------------------------
    Last Update Date     |    11/17/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8501 WADE BLVD STE 750 
-----------------------------------------------------
    City                 |    FRISCO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75034-6437
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    972-668-6005
-----------------------------------------------------
    Fax                  |    972-635-4440
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8501 WADE BLVD STE 750 
-----------------------------------------------------
    City                 |    FRISCO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75034-6437
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    972-668-6005
-----------------------------------------------------
    Fax                  |    972-635-4440
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR
-----------------------------------------------------
    Name                 |     MOHAMAD-AMMAR F AYASS 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    806-584-0402
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RP1001X
-----------------------------------------------------
    Taxonomy Name        |    Pulmonary Disease Physician
-----------------------------------------------------
    License Number       |    L2116
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.