Individual
OMAR MOHAMMED MOINUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 MORRISON PARK DR STE 100, SOUTHLAKE, TX 76092-1352
(817) 865-6800
(817) 865-6790
Mailing address
305 MORRISON PARK DR STE 100, SOUTHLAKE, TX 76092-1352
(817) 865-6800
(817) 865-6790
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301509019
MI
207W00000X
Ophthalmology Physician
4351044807
MI
207W00000X
Ophthalmology Physician
V8695
TX
Other
Enumeration date
06/24/2019
Last updated
10/21/2025
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