Provider Demographics
NPI:1275527012
Name:CUMMINGS, MUGE A (DO)
Entity Type:Individual
Prefix:MRS
First Name:MUGE
Middle Name:A
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 RAINBOW DR # 3666
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77399-0001
Mailing Address - Country:US
Mailing Address - Phone:561-214-1725
Mailing Address - Fax:
Practice Address - Street 1:136 RAINBOW DR # 3666
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77399-0001
Practice Address - Country:US
Practice Address - Phone:561-214-1725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS4858207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC31450Medicare UPIN
FL01596ZMedicare ID - Type Unspecified