Moinuddin, Omar Mohammed
Moinuddin, Omar Mohammed is an individual health care provider with primary practice located at 305 Morrison Park Dr Ste 100 , Southlake TX 76092-1352. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Moinuddin, Omar Mohammed can be contacted via phone (817) 865-6800.Contact Information
Primary practice address
305 Morrison Park Dr Ste 100
Southlake TX 76092-1352
Phone: (817) 865-6800
Fax: (817) 865-6790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4301509019 | Michigan |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4351044807 | Michigan |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | V8695 | Texas |
Profile Details
| NPI number | 1477114296 |
|---|---|
| LBN Legal business name | Moinuddin, Omar Mohammed |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2019 |
| Last updated | Oct 21st, 2025 - about last year |
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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