Active NPI
Mohammed Fouad Abu-Deiab, CRNA
- Certified Registered Nurse Anesthetist
- Edinburg, TX
National Provider Identifier
1184017337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP126019
- Practice address
- 5501 S McColl Rd
Edinburg, TX 78539-9152 - Phone
- (787) 366-6160
- NPI assigned
- Mar 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP126019 | TX | Primary |
Addresses
Primary practice location
5501 S McColl Rd
Edinburg, TX 78539-9152
Mailing address
133 E Yucca Ave
McAllen, TX 78504
Phone (787) 366-6160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP126019 | TX | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1184017337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 E YUCCA AVE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "78504",
"telephone_number": "787-366-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785399152",
"telephone_number": "787-366-6160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABU-DEIAB",
"first_name": "MOHAMMED",
"middle_name": "FOUAD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-12",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP126019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.