MD Moinul Islam, P.A.

NPI #1184022758 in Odessa, Texas

Provider Information

NPI Number: 1184022758
Entity Type: Individual
Name: MD Moinul Islam, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Dec 15, 2014
Last Updated: Jan 21, 2015

Practice Location

Address: 6030 W. UNIVERSITY
City: Odessa
State: Texas
ZIP Code: 79764
Phone: (432) 640-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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