MR. ALHAJI MAHAMA MUMUNI (NPI# 1427255330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427255330 |
| Entity Type | Individual |
| Full Name | MR. ALHAJI MAHAMA MUMUNI |
| Credential | PAC |
| Practice Address |
3305 Miller Ave Ste B Fort Worth TX 76119-1956 |
| Mailing Address |
4824 Valley Springs Trl Keller TX 76248-1904 |
| Practice Telephone | 8175352690 |
| Mailing Telephone | 8173337003 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA02634 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3305 MILLER AVE STE B |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76119-1956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
| 1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
| 1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
| 1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
| 1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
| 1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
| 1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
| 1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
| 1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
| 1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
| Find all providers in zip 76119 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314742 | Tan Ngo | Physician Assistant | 3025 N Tarrant Pkwy Ste 140, Fort Worth, TX 76177-8625 | 2019-09-10 |
| 1699321240 | Hannah Bram | Physician Assistant | 1400 8th Ave Fl 1, Fort Worth, TX 76104-4110 | 2019-08-09 |
| 1942654462 | Damon A Cates | Physician Assistant | Fmc Carswell, J St Bldg 3000, Fort Worth, TX 76127 | 2016-04-21 |
| 1790159721 | Victoria Constant | Physician Assistant | 3701 Vision Dr Ste 101, Fort Worth, TX 76109-1184 | 2015-11-13 |
| 1962828871 | Erika Zuniga Martinez | Physician Assistant | 800 7th Ave, Fort Worth, TX 76104-2704 | 2014-03-16 |
| 1336562883 | Elizabeth Suzanne Widmer | Physician Assistant | 12469 Timberland Blvd Ste 501, Fort Worth, TX 76244-5216 | 2014-02-03 |
| 1225475536 | Female Health Associates of North Texas, LLC | Physician Assistant | 1327 Hemphill St, Suit 100, Fort Worth, TX 76104-4735 | 2013-05-28 |
| 1427144518 | Glenda Rose Hagman | Physician Assistant | 1400 S Main St Ste 406, Fort Worth, TX 76104-4913 | 2006-10-05 |
| 1073533725 | Michael Howard Johnson | Physician Assistant | 4504 Boat Club Rd Ste 800, Fort Worth, TX 76135-7002 | 2006-07-19 |
| 1477170637 | Mary Elizabeth Morgan | Physician Assistant | 1000 W Cannon St, Fort Worth, TX 76104-3029 | 2020-07-02 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76119 |
Please comment or provide details below to improve the information on MR. ALHAJI MAHAMA MUMUNI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.