DR. MAHMOUD N SOUBRA (NPI# 1427212224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427212224 |
| Entity Type | Individual |
| Full Name | DR. MAHMOUD N SOUBRA |
| Credential | M.D. |
| Practice Address |
12221 N Mopac Expy Austin TX 78758-2401 |
| Mailing Address |
12221 N Mopac Expy Austin TX 78758-2483 |
| Practice Telephone | 5129014007 |
| Practice Fax Number | 5129013907 |
| Mailing Telephone | 5129014937 |
| Mailing Fax Number | 5129013945 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 39553 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
S4060 | TX | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD-39553 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
12221 N MOPAC EXPY |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238534 | Malik M Merchant | Internal Medicine | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2005-07-11 |
| 1477151413 | Jessica C. Heim | Registered Nurse | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2020-10-13 |
| 1639786387 | Renee Yvonne Vilaire | Registered Nurse | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2020-09-28 |
| 1376150052 | Kimberly Marie Labinsky | Registered Nurse | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2020-09-28 |
| 1912515123 | Renee Hyder | Nurse Practitioner | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2020-07-14 |
| 1255963468 | Melanie Marie Vague | Registered Nurse | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2020-02-05 |
| 1730728684 | Sally Anne Jung | Registered Nurse | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2019-12-24 |
| 1831735505 | Sadie Christine Laddusaw | Anesthesiologist Assistant | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2019-11-18 |
| 1003386285 | Lauren Van Orden | Speech-Language Pathologist | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2018-11-29 |
| 1114406246 | Sarah Mcbride | Clinical Nurse Specialist | 12221 N Mopac Expy, Austin, TX 78758 | 2018-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023348299 | Praveen Kumar Sampath | Internal Medicine | 12201 Renfert Way Ste 315, Austin, TX 78758 | 2010-01-11 |
| 1104086628 | Harry J Thomas | Internal Medicine | 1111 W 34th St Ste 200, Austin, TX 78705-1916 | 2008-06-10 |
| 1548376312 | Syed M.a. Rizvi | Internal Medicine | 12701 Rr 620 N Ste 101, Austin, TX 78750-1141 | 2006-08-22 |
| 1902822281 | Nadege Tacha Gunn | Internal Medicine | 3001 Bee Caves Rd Ste 220, Austin, TX 78746-5590 | 2006-07-13 |
| 1841276748 | George Edward Kitzmiller | Internal Medicine | 4507 Crestway Dr, Austin, TX 78731-5201 | 2005-12-22 |
| 1932184512 | Angel Eduardo Alcocer | Internal Medicine | 1111 W 34th St, Suite 200, Austin, TX 78705-1900 | 2005-12-07 |
| 1508841180 | Frank B Adams | Internal Medicine | 5700 Standing Rock Dr, Austin, TX 78730-2859 | 2005-12-07 |
| 1548245079 | William Stassen | Internal Medicine | 8015 Shoal Creek Blvd Ste 118, Austin, TX 78757-8052 | 2005-12-07 |
| 1588198808 | Capitol Gastro, Pa | Internal Medicine | 12701 Rr 620 N Ste 101, Austin, TX 78750-1141 | 2017-04-13 |
| 1629498068 | Sanaa Somalya Arastu | Internal Medicine | 1111 W 34th St Ste 200, Austin, TX 78705-1916 | 2014-04-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.