Provider Demographics
NPI:1659667129
Name:ELSAKKA, MOSTAFA SOLIMAN (MD)
Entity Type:Individual
Prefix:
First Name:MOSTAFA
Middle Name:SOLIMAN
Last Name:ELSAKKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 E ELDORADO PAKWY
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068
Mailing Address - Country:US
Mailing Address - Phone:469-200-5974
Mailing Address - Fax:469-200-5214
Practice Address - Street 1:1395 E ELDORADO PKWY
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-5507
Practice Address - Country:US
Practice Address - Phone:469-200-5974
Practice Address - Fax:469-200-5214
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP8893207P00000X, 207Q00000X
TXBP10040023207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine