Individual
DANIEL J MUMBOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
18951 N MEMORIAL DR, HUMBLE, TX 77338-4217
(713) 338-6565
Mailing address
909 FROSTWOOD DR STE 1.100, HOUSTON, TX 77024-2301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004436A
IN
363A00000X
Physician Assistant
Primary
PENDING
TX
Other
Enumeration date
01/04/2023
Last updated
12/18/2024
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