North Dallas Healthcare Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N5873 Issued in TX

Legal business name

NORTH DALLAS HEALTHCARE ASSOCIATES LLC

Practice address

4040 Legacy Dr Ste 104
Frisco, TX 75034-6748

Phone

(469) 200-8046

NPI assigned

Dec 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ousama Moammar, MD

Title

Ceo

Phone

(214) 471-2808

Specialties & licenses 1

Addresses

Other names 1

• Legacy MD Doing business as

Locations

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

{
    "created_epoch": "1512777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512777600000",
    "number": "1396250577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 LEGACY DR STE 104",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 LEGACY DR STE 104",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346748",
            "telephone_number": "469-200-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DALLAS HEALTHCARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-09",
        "last_updated": "2017-12-09",
        "status": "A",
        "authorized_official_last_name": "MOAMMAR",
        "authorized_official_first_name": "OUSAMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-471-2808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N5873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2017; 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.