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NPI Code Detail

MEDICARE: DR. LINDA A MUMFORD MD

MEDICARE: DR. LINDA A MUMFORD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician23427KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437155769
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA A MUMFORD MD
Provider Business Mailing Address
First Line : PO BOX 1515
Second Line :
City : DURANT
State : OK
Zip : 74702-1515
Country : US
Telephone Number : 405-745-9600
Fax Number : 405-745-9602
Provider Business Practice Location Address
First Line : 5016 US HWY 75
Second Line :
City : DENISON
State : TX
Zip : 75020-4584
Country : US
Telephone Number : 903-416-3650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 11/17/2015

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Directions to “ DR. LINDA A MUMFORD MD” Practice Location

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