| Organization Name: | MASOUD ISSAT |
| NPI Number: | 1104249713 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MASOUD ISSAT (NURSE PRACTITIONER) |
| Mailing Address: | 715 Discovery Blvd Suite 405 Cedar Park |
| State: | TX US |
| Postal Code: | 786132287 |
| Phone Number: | 5129867704 |
| Fax Number: | 7139293621 |
| NPI Enumeration Date: | 02/03/2014 |
| NPI Last Update Date: | 03/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 664502 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |