Momin, Mustak Mansur

Momin, Mustak Mansur is an sole proprietor health care provider with primary practice located at 908 Southmore Ave Suite # 340, Pasadena TX 77502-1134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Momin, Mustak Mansur can be contacted via phone (713) 477-0400.

Contact Information

Primary practice address
908 Southmore Ave Suite # 340 Pasadena TX 77502-1134
Phone: (713) 477-0400
Fax: (713) 477-2711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K7457 Texas

Profile Details

NPI number 1124142609
LBN Legal business name Momin, Mustak Mansur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124142609 NPPES
Texas MEDICAID P000178Y5
Texas Other 8620N6

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