Individual
MRS. MUNNAVER SULTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2955 HARRISON, STE 301, BEAUMONT, TX 77702
(409) 899-5111
(409) 899-5906
Mailing address
2955 HARRISON, STE 301, BEAUMONT, TX 77702
(409) 899-5111
(409) 899-5906
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
E7745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00BA89
BCBS
—
Enumeration date
07/07/2006
Last updated
07/08/2007
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