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General NPI Number Information
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NPI Number | 1851590954
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Entity Type | Organization
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Legal Business Name | MUMTAZ SULEMAN, M.D., P.A.
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 2060 SPACE PARK DR SUITE 404
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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 | 2060 SPACE PARK DR SUITE 404
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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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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | MUMTAZ SULEMAN
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Credential | M.D.
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Telephone | 281-316-6501
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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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