Individual
WALLY AHMAD OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 590-8058
Mailing address
185 PILGRIM RD FL BAKER4, BOSTON, MA 02215-5324
(917) 903-8445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
083022
CT
207R00000X
Internal Medicine Physician
Q8316
TX
207RC0000X
Cardiovascular Disease Physician
Q8316
TX
207RI0011X
Interventional Cardiology Physician
Primary
MD473290
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2014
Last updated
01/20/2026
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