MEDICARE: ASAD OMAR 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	208100000X	Physical Medicine & Rehabilitation Physician	R1260	TX
2	207RP1001X	Pulmonary Disease Physician	R1260	TX
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	R1260	TX
4	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	R1260	TX
5	207RS0012X	Sleep Medicine (Internal Medicine) Physician	R1260	TX

General Provider Information

NPI Number	:	1376850651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASAD OMAR MD

Provider Business Mailing Address
First Line	:	1512 N ZARAGOZA RD STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-8903
Country	:	US
Telephone Number	:	915-213-0900
Fax Number	:	915-271-4145

Provider Business Practice Location Address
First Line	:	1512 N ZARAGOZA RD STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-8903
Country	:	US
Telephone Number	:	915-213-0900
Fax Number	:	915-271-4145

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

Provider Enumeration Date	:	09/08/2010
Last Update Date	:	03/16/2026

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Directions to “ ASAD OMAR MD” Practice Location

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