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1316060502
SANOBER HUMAYUM MUMTAZ
TYLER, TX
NPI
1316060502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX E4553)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
-- SANOBER HUMAYUM MUMTAZ MD
820 E FRONT STREET WILLOW WELLNESS CENTER PA
TYLER, TX 75702
Phone number: 903-596-0602
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Mailing Address
-- SANOBER HUMAYUM MUMTAZ MD
3001 BELMEAD
TYLER, TX 75701
Phone number: 903-530-7486
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