Basic Information
| Provider Information | |||||||||
| NPI: | 1821227471 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OMAR | ||||||||
| FirstName: | FAHAD | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1512 N ZARAGOZA RD STE B | ||||||||
| Address2: | |||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799368903 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9152130900 | ||||||||
| FaxNumber: | 9152714145 | ||||||||
| Practice Location | |||||||||
| Address1: | 2000. B TRANSMOUNTAIN RD | ||||||||
| Address2: | SUITE 270 | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799113600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9152130900 | ||||||||
| FaxNumber: | 9153516601 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2009 | ||||||||
| LastUpdateDate: | 06/18/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | R0293 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 036130984 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 4301095161 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | R0293 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RS0012X | R0293 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | 207RS0012X | 4301095161 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | 207RP1001X | R0293 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.