Individual
MOJIRAYO A. SARUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
620 S FLEISHEL AVE, TYLER, TX 75701
(903) 606-4900
(903) 606-4699
Mailing address
2900 SAINT MICHAEL DR STE 401, TEXARKANA, TX 75503-5211
(903) 614-5383
(903) 614-5343
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MB09374900
NJ
207V00000X
Obstetrics & Gynecology Physician
OS017932
PA
207V00000X
Obstetrics & Gynecology Physician
R9538
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
R9538
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0464660
—
NJ
05
—
400935901
—
TX
01
—
825668
MEDICARE PIN
TX
Enumeration date
10/15/2013
Last updated
03/02/2020
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