Organization Active NPI

Full Spectrum Medical PLLC

  • Adult Medicine Physician
  • Garland, TX
National Provider Identifier
1689246340
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
FULL SPECTRUM MEDICAL PLLC
Practice address
4301 Saturn Rd Ste 201
Garland, TX 75041-5351
Phone
(469) 814-9872
NPI assigned
Jul 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Dr. Mahdi Awwad, MD
Title
Co-Owner
Phone
(469) 348-4124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

4301 Saturn Rd Ste 201
Garland, TX 75041-5351

Mailing address

6018 Tuckers PL
Rowlett, TX 75089-7125

Other practice location 1

6018 Tuckers Pl
Rowlett, TX 75089-7125
Phone (440) 539-6130

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1689246340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6018 TUCKERS PL",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750897125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 SATURN RD STE 201",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415351",
            "telephone_number": "469-814-9872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6018 Tuckers Pl",
            "address_purpose": "LOCATION",
            "city": "Rowlett",
            "state": "TX",
            "postal_code": "750897125",
            "country_code": "US",
            "telephone_number": "440-539-6130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FULL SPECTRUM MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "AWWAD",
        "authorized_official_first_name": "MAHDI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "469-348-4124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.