Individual
MICHELLE K UMENGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6500 CHAMPION GRANDVIEW WAY, APT 35305, AUSTIN, TX 78750-8223
(806) 438-1577
Mailing address
6500 CHAMPION GRANDVIEW WAY, APT 35305, AUSTIN, TX 78750-8223
(806) 438-1577
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M3774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182197709
—
TX
05
—
182197710
—
TX
05
—
182197711
—
TX
Enumeration date
08/12/2006
Last updated
06/23/2021
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