Active NPI
Mumtaz Suleman, M.D., P.a.
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1851590954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- L6190
- Legal business name
- MUMTAZ SULEMAN, M.D., P.A.
- Practice address
- 2060 Space Park Dr
Suite 404
Houston, TX 77058-3600 - Phone
- (281) 316-6501
- Fax
- (281) 339-7180
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mumtaz Suleman, M.D.
- Title
- Psychiatrist
- Phone
- (281) 316-6501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | L6190 | TX | Primary |
Addresses
Primary practice location
2060 Space Park Dr
Suite 404
Houston, TX 77058-3600
Mailing address
2060 Space Park Dr
Suite 404
Houston, TX 77058-3600
Phone (281) 316-6501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157680302 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
2060 Space Park Dr
Ste 404
Houston, TX 77058
Phone (281) 316-6501
400 W Medical Center Blvd
Ste 108
Webster, TX 77598
Phone (281) 316-6501
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Webster, TX
- NPI 1659464725
-
- Specialist
- Webster, TX
- NPI 1689671497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358467200000",
"number": "1851590954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 SPACE PARK DR",
"address_2": "SUITE 404",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583600",
"telephone_number": "281-316-6501",
"fax_number": "281-339-7180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 SPACE PARK DR",
"address_2": "SUITE 404",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583600",
"telephone_number": "281-316-6501",
"fax_number": "281-339-7180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUMTAZ SULEMAN, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-17",
"last_updated": "2013-01-18",
"status": "A",
"authorized_official_last_name": "SULEMAN",
"authorized_official_first_name": "MUMTAZ",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "281-316-6501",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "L6190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157680302",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.