Individual
MAMKUMBA FAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
39769 INTERSTATE 20, DALLAS, TX 75237
(248) 982-2445
Mailing address
39769 INTERSTATE 20, DALLAS, TX 75237
(248) 982-2445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1213294
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1213294
TX
Other
Enumeration date
09/29/2025
Last updated
04/28/2026
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