Mostafa Jaleel Ibrahim

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

37888 Issued in TX

Practice address

Texas Tech University Health Sciences Center El Paso
137 Rick Francis St. MSB II, Room 3B306
Elpaso, TX 79905

Phone

(915) 215-5319

NPI assigned

Oct 7, 2021

Last updated

Oct 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1316609373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO",
            "address_2": "137 RICK FRANCIS ST. MSB II, ROOM 3B306",
            "city": "ELPASO",
            "state": "TX",
            "postal_code": "79905",
            "telephone_number": "915-215-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO",
            "address_2": "137 RICK FRANCIS ST. MSB II, ROOM 3B306",
            "city": "ELPASO",
            "state": "TX",
            "postal_code": "79905",
            "telephone_number": "915-215-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "MOSTAFA",
        "middle_name": "JALEEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "37888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio Ibarra, MD
• Ijeoma Carol Ibeanu, MD
• Ahmed Ibrahim, MD
• Ali Dhia Ibrahim, M.D.
• Mohammad S Ibrahim, MD
• Parisa Ibrahim, M.D.
• Ideal Hope Renaissance
• Ideal Opportunities LLC
• Lennah Ieremia
• Ifeoma Egbuonu, MD, PLLC (Diabetes and Endocrinology Specialists of El Paso)

• Prosthodontics in El Paso, TX
• Providers in El Paso, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.