KHOTWANAEYA A MWAMBA

TYLER, TX
NPI1205198421
Former NameKHOTWANAEYA A COHEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: TX  R6634)
Additional Taxonomies208000000X Pediatrics
(Licence: AZ  49873)
Enumeration Date2012-06-13
Last Update Date2024-07-17
Business Address
KHOTWANAEYA A MWAMBA M.D.
2990 N BROADWAY AVE
TYLER, TX 75702-2149
Phone number: 903-535-9041
Mailing Address
KHOTWANAEYA A MWAMBA M.D.
523 S FANNIN AVE
TYLER, TX 75702-8204
Phone number: 903-535-9041