Healthcare Provider Details

I. General information

NPI: 1114612017
Provider Name (Legal Business Name): AAMIR MOMIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18200 KATY FWY
HOUSTON TX
77094-1285
US

IV. Provider business mailing address

777 S MAYDE CREEK DR APT 454
HOUSTON TX
77079-6163
US

V. Phone/Fax

Practice location:
  • Phone: 832-824-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberW6316
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number75541
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: