Islam, Md Moinul

Islam, Md Moinul is an individual health care provider with primary practice located at 6030 W. University , Odessa TX 79764. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Islam, Md Moinul can be contacted via phone (432) 640-6600.

Contact Information

Primary practice address
6030 W. University Odessa TX 79764
Fax: (432) 640-4790
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA09504 Texas

Profile Details

NPI number 1184022758
LBN Legal business name Islam, Md Moinul
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2014
Last updated Jan 21st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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