Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | M5385 | TX |
NPI | 1013001346 |
---|---|
Provider Name | Samira T Mohamed |
First Address | Brownsville, TX 78526-4353 |
Second Address | Brownsville, TX 78526-4353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 05/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201049801 | (05) | TX |