Organization Active NPI

Masoud Issat

  • General Practice Registered Nurse
  • Cedar Park, TX
National Provider Identifier
1104249713
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
664502 Issued in TX
Legal business name
MASOUD ISSAT
Practice address
715 Discovery Blvd
Suite 405
Cedar Park, TX 78613-2287
Phone
(512) 986-7704
Fax
(713) 929-3621
NPI assigned
Feb 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Masoud Issat, N.P
Title
Nurse Practitioner
Phone
(713) 955-6087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WG0000X 664502 TX Primary

Addresses

Primary practice location

715 Discovery Blvd
Suite 405
Cedar Park, TX 78613-2287

Mailing address

715 Discovery Blvd
Suite 405
Cedar Park, TX 78613-2287
Phone (512) 986-7704

Other names 1

  • Unique Weight lose Solution Doing business as

National Provider Directory

National Provider Directory

Locations

715 Discovery Blvd
Ste 405
Cedar Park, TX 78613
Phone (512) 497-8145

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1104249713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 DISCOVERY BLVD",
            "address_2": "SUITE 405",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132287",
            "telephone_number": "512-986-7704",
            "fax_number": "713-929-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DISCOVERY BLVD",
            "address_2": "SUITE 405",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132287",
            "telephone_number": "512-986-7704",
            "fax_number": "713-929-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASOUD ISSAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "ISSAT",
        "authorized_official_first_name": "MASOUD",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "713-955-6087",
        "authorized_official_credential": "N.P"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "664502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unique Weight lose Solution",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.