Individual
DR. TAYYAB MOHYUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
308 HOLDERRIETH BLVD, TOMBALL, TX 77375-4536
(281) 351-4911
(281) 351-4915
Mailing address
308 HOLDERRIETH BLVD, TOMBALL, TX 77375-4536
(281) 351-4911
(281) 351-4915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N1780
TX
207RC0000X
Cardiovascular Disease Physician
Primary
N1780
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008806261I
HUMANA
—
05
—
34662500
—
WI
Enumeration date
05/15/2006
Last updated
09/21/2012
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