Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MD Moinul Islam, PA

Individual provider Physician Assistant · NPI 1184022758

MD Moinul Islam, PA is a Physician Assistant in Odessa, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6030 W University
Odessa, TX 79764
Phone: (432) 640-6600
Fax: (432) 640-4790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA09504 (TX)

Record details

NPI number1184022758
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 15, 2014
Last updated in NPPESJanuary 21, 2015

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