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General NPI Number Information
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NPI Number | 1699981431
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Entity Type | Individual
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Provider Name | OUSAMA MOAMMAR MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 8220 WALNUT HILL LN STE 600
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City | DALLAS
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State | TX
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Zip | 75231-4433
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Country | US
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Telephone | 214-238-3074
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Fax | 214-238-3608
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Provider Business Mailing Address
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Address Line | 1 1 5 7 0 C O R O N A D O T R A I L
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City | F R I S C O
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State | TX
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Zip | 75033-0228
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Country | US
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Telephone | 580-713-9040
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N5873
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License Number State | TX
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