Provider Demographics
NPI:1790247393
Name:ISMAIL, OMAR MOHAMMAD (MD)
Entity type:Individual
Prefix:DR
First Name:OMAR
Middle Name:MOHAMMAD
Last Name:ISMAIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:OMAR
Other - Middle Name:MOHAMMAD
Other - Last Name:ISMAIL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:
Practice Address - Street 1:6400 FANNIN ST, SUITE 1800
Practice Address - Street 2:SUITE 2730
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1521
Practice Address - Country:US
Practice Address - Phone:713-486-9412
Practice Address - Fax:713-486-9492
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU4823207W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology