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Individual

KATRINA L WILLIE-MUSOMA

Active
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Individual

KATRINA L WILLIE-MUSOMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M9742
TX
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
M9742
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00R86C
MEDICARE GROUP NPI
01
084933301
TMHP/MEDICAID GROUP TPI
TX
05
195476005
TX
Enumeration date
05/17/2007
Last updated
02/24/2026
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