Healthcare Provider Details

I. General information

NPI: 1609724004
Provider Name (Legal Business Name): SOBIA MUMTAZ MSN, APRN, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N KOBAYASHI STE 310
WEBSTER TX
77598-4841
US

IV. Provider business mailing address

PO BOX 58538
WEBSTER TX
77598-8538
US

V. Phone/Fax

Practice location:
  • Phone: 281-985-5984
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1011326
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: