North Texas General Surgery PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NORTH TEXAS GENERAL SURGERY PLLC

Doing business as

Epic Surgery Clinic

Practice address

811 S Central Expy Ste 103
Richardson, TX 75080-7439

Phone

(945) 205-0333

Fax

(945) 205-0444

NPI assigned

Jun 5, 2020

Last updated

Oct 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohamed A IbrahimNPI 1316125743

Title

MD

Phone

(945) 205-0333

Specialties & licenses 1

Addresses

Other names 1

• Epic Surgery Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohamed A Ibrahim, M.D.

  • Surgery Physician
  • Plano, TX
  • NPI 1316125743

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1174147086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 AMBER WAVES LN",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750981216",
            "telephone_number": "945-205-0333",
            "fax_number": "945-205-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S CENTRAL EXPY STE 103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807439",
            "telephone_number": "945-205-0333",
            "fax_number": "945-205-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822199",
            "country_code": "US",
            "telephone_number": "945-205-0333",
            "fax_number": "945-202-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 W Pleasant Run Rd",
            "address_2": "Suite 370; Physician West Bldg",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "TX",
            "postal_code": "751461078",
            "country_code": "US",
            "telephone_number": "945-205-0333",
            "fax_number": "945-205-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH TEXAS GENERAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "945-205-0333"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic Surgery Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgery Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.