Individual
MR. ALHAJI MAHAMA MUMUNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3305 MILLER AVE STE B, FORT WORTH, TX 76119-1956
(817) 535-2690
Mailing address
4824 VALLEY SPRINGS TRL, KELLER, TX 76248-1904
(817) 333-7003
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02634
TX
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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