Individual
MR. MAYZABAAN UMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1090 COUNTY ROAD 5714, NATALIA, TX 78059-2729
(210) 643-2381
Mailing address
1090 COUNTY ROAD 5714, NATALIA, TX 78059-2729
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
217409
TX
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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