Individual
MOHAMED SUMMAKIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2516 LILLIAN MILLER PKWY, STE 110, DENTON, TX 76210-7205
(940) 243-0202
(940) 243-0404
Mailing address
9607 VALLEY LAKE LN, IRVING, TX 75063-5014
(469) 323-8112
(817) 549-7779
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
N0488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201471401
—
TX
01
—
201471402
MEDICAID TPI NUMBER
TX
01
—
P00784505
RAILROAD MEDICARE
TX
01
—
TXB141949
MEDICARE FOR TARRANT COUNTY
TX
Enumeration date
06/30/2006
Last updated
01/06/2026
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