P Praxis·MD
● Active Type 1 · Individual

MD Moinul Islam, P.A.

Physician Assistant·Odessa, TX· NPI 1184022758 · Enumerated 2014 · 11 years on NPI
Islam is 1 of 53 physician assistant providers in Odessa and 1 of 11022 in Texas.
NPI age
11 years
Enumerated 2014-12-15
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-01-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 11022 active physician assistant providers in Texas.

NPI age
11 years
≈ at median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-12Enumerated in NPPES
2014 2026

Where they practice

Practice location
6030 W. University
Odessa, TX 79764
📞 4326406600fax 4326404790
Mailing address
Po Box 2129
Odessa, TX 797602129
📞 4326406600fax 4326404790

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    TX license #PA09504 taxonomy 363A00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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