Individual
NIMI L TUAMOKUMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22710 PROFESSIONAL DR, RADIATION DEPARTMENT, KINGWOOD, TX 77339-6008
(281) 312-8545
(281) 348-8250
Mailing address
PO BOX 8399, THE WOODLANDS, TX 77387-8399
(281) 364-1707
(281) 364-0028
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
226888
MA
2085R0001X
Radiation Oncology Physician
Primary
N0521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255397733
NPI
TX
01
—
1487887667
NPI
TX
01
—
270573017
TAX ID
TX
01
—
760528826
TAX ID
TX
Enumeration date
07/07/2006
Last updated
05/04/2011
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