| Doctor Name: | OMAR EL-KWEIFI |
| NPI Number: | 1386013118 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.D.S. |
| License Number: | 30945 |
| Business Practice Address: | 1809 Louise Ln 200 Pearsall, TX - 780611500 |
| Business Phone Number: | 8305057301 |
| Business Fax Number: | |
| Mailing Address: | 4900 Medical Dr, Apt #1718 SAN ANTONIO |
| State: | TX |
| Postal Code: | 782295389 |
| Phone Number: | 8328598328 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2015 |
| NPI Last Update Date: | 09/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223G0001X |
| License Number: | 30945 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |