Provider Demographics
NPI:1053833327
Name:MUAAMAR, ANAS
Entity Type:Individual
Prefix:DR
First Name:ANAS
Middle Name:
Last Name:MUAAMAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BARKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-7912
Mailing Address - Country:US
Mailing Address - Phone:330-881-0880
Mailing Address - Fax:
Practice Address - Street 1:10763 PRESTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-3806
Practice Address - Country:US
Practice Address - Phone:214-217-4411
Practice Address - Fax:214-217-4412
Is Sole Proprietor?:No
Enumeration Date:2017-07-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice