Organization Active NPI

Mumtaz Suleman, M.D., P.a.

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1851590954
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L6190 Issued in TX
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

Updated by the provider on Jan 18, 2013

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
157680302MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.