Individual
INAYAT A MOMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 W 38TH ST #205, AUSTIN, TX 78705-1011
(512) 324-1864
(512) 419-9016
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M6777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193651001
—
TX
05
—
193651002
—
TX
05
—
193651003
—
TX
05
—
193651004
—
TX
Enumeration date
12/29/2005
Last updated
10/29/2013
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