Individual
DR. TAWANDA GUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UT SOUTHWESTERN MEDICAL CTR, 5323 HARRY HINES BLVD, DALLAS, TX 75390-9113
(214) 648-9914
(214) 648-2741
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9113
(214) 648-9914
(214) 648-2741
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
002080
NY
207RI0200X
Infectious Disease Physician
Primary
41626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02353648
—
NY
Enumeration date
08/16/2005
Last updated
07/08/2007
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