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1306095849

NPI Code Detail

MEDICARE: OSAMA MOHAMED ELMHISHI MD

MEDICARE: OSAMA MOHAMED ELMHISHI MD

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	207R00000X	Internal Medicine Physician	38396	IA
2	207R00000X	Internal Medicine Physician	P1297	TX
3	207R00000X	Internal Medicine Physician	036121577	IL
4	207RN0300X	Nephrology Physician	P1297	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306095849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSAMA MOHAMED ELMHISHI MD

Provider Business Mailing Address
First Line	:	1000 W CANNON ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3029
Country	:	US
Telephone Number	:	817-725-7900
Fax Number	:	682-207-1030

Provider Business Practice Location Address
First Line	:	713 E ANDERSON ST
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-5705
Country	:	US
Telephone Number	:	682-582-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2008
Last Update Date	:	03/30/2026

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Directions to “ OSAMA MOHAMED ELMHISHI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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