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General NPI Number Information
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NPI Number | 1023017431
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Entity Type | Individual
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Provider Name | MUMTAZ SULEMAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 2060 SPACE PARK DR STE 108
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City | HOUSTON
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State | TX
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Zip | 77058-3600
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Country | US
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Telephone | 281-316-6501
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Fax | 281-339-7180
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 254-724-2111
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | L6190
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | L6190
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01051280A
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License Number State | IN
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