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SANOBER HUMAYUM MUMTAZ MD
NPI 1316060502
Family Medicine in Tyler, TX

Active since April 10, 2007
820 E FRONT STREET, WILLOW WELLNESS CENTER PA, TYLER, TX 75702(903) 596-0602(903) 596-0620 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sanober Humayum Mumtaz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANOBER HUMAYUM MUMTAZ MD (NPI 1316060502) is an individual family medicine provider in Tyler, Texas, licensed in Texas (E4553) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1316060502
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANOBER HUMAYUM MUMTAZCredential: MD
Location Address820 E FRONT STREET, WILLOW WELLNESS CENTER PATyler, TX 75702
Mailing Address3001 BelmeadTyler, TX 75701 · (903) 530-7486 · Fax (903) 595-6547
Phone(903) 596-0602
Fax(903) 596-0620
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316060502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · E4553
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
820 E FRONT STREET, Tyler, TX 75702
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Other Identifiers 2

Medicare ID-Type Unspecified00535265TX
Medicare UPINV25025TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanober Mumtaz's NPI number?

The NPI number for Sanober Mumtaz is 1316060502. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Sanober Mumtaz located?

Sanober Mumtaz practices at 820 E Front Street Willow Wellness Center PA, Tyler, TX 75702. The listed phone number is (903) 596-0602.

What is Sanober Mumtaz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Sanober Mumtaz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.