Alexandria Medical Association PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P0328 Issued in TX

Legal business name

ALEXANDRIA MEDICAL ASSOCIATION PA

Doing business as

Alexandria Clinic

Practice address

1836 Snake River Rd Ste C
Katy, TX 77449-7753

Phone

(281) 578-9000

Fax

(281) 578-9004

NPI assigned

Aug 31, 2011

Last updated

Sep 11, 2023By 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

Dr. Mohamed Mahdy Abdelmoula, M.D.NPI 1720249105

Title

Ceo

Phone

(832) 205-2080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ALEXANDRIA CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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 M Abdelmoula, MD

  • Family Medicine Physician
  • Katy, TX
  • NPI 1720249105
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1730460049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SNAKE RIVER RD STE C",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497753",
            "telephone_number": "281-578-9000",
            "fax_number": "281-578-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SNAKE RIVER RD STE C",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497753",
            "telephone_number": "281-578-9000",
            "fax_number": "281-578-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIA MEDICAL ASSOCIATION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "ABDELMOULA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "MAHDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-205-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318749401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALEXANDRIA CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bria Alexander, OTR/L
• Dawn Marie Alexander, PT
• Dominique Alexander
• Jovon Alexander, PTA
• Nadia Alexander, FNP-C
• Alexis Alfaro, OTR/L
• Isela Alfaro, RBT, CPR
• Kiely Alfieri
• Christopher James Alford, M.A., LPA, LSSP
• Nooralhuda Omer Alghadi, RBT

• Family Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.