Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 267642 | MA |
N | 2081P2900X | Pain Medicine | 267642 | MA |
NPI | 1346506185 |
---|---|
Provider Name | Umar Mahmood |
First Address | Austin, TX 78757-7664 |
Second Address | Temple, TX 76502-5848 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2012 |
Last Update Date | 21/11/2019 |