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1295907764
DIANA I MUMMERT
FORT WORTH, TX
NPI
1295907764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX M8858)
Enumeration Date
2008-03-25
Last Update Date
2011-09-20
Business Address
-- DIANA I MUMMERT MD
855 MONTGOMERY ST
FORT WORTH, TX 76107-2553
Phone number: 817-735-2400
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Mailing Address
-- DIANA I MUMMERT MD
PO BOX 99335
FORT WORTH, TX 76199-0335
Phone number: 817-735-2400
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