Individual provider · Type 1 NPI

MD Moinul Islam, P.A.

Physician Assistant · Odessa, TX

NPI number 1184022758 Active

Practice location

6030 W. University
Odessa, TX 79764

Call (432) 640-6600 Map

Fax (432) 640-4790

Mailing address

PO Box 2129
Odessa, TX 79760-2129

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA09504 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1184022758

MD Moinul Islam, P.A.'s National Provider Identifier is 1184022758, issued on Dec 15, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Odessa, TX. The record was last updated on Jan 21, 2015.