Provider Demographics
NPI:1033327200
Name:OMAR, MUGEER (BC,HIS)
Entity Type:Individual
Prefix:
First Name:MUGEER
Middle Name:
Last Name:OMAR
Suffix:
Gender:M
Credentials:BC,HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 DALLAS DR
Mailing Address - Street 2:SUITE #C2
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-5291
Mailing Address - Country:US
Mailing Address - Phone:940-243-2766
Mailing Address - Fax:940-320-3570
Practice Address - Street 1:301 DALLAS DR
Practice Address - Street 2:SUITE #C2
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5291
Practice Address - Country:US
Practice Address - Phone:940-243-2766
Practice Address - Fax:940-320-3570
Is Sole Proprietor?:No
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50665237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist