Provider Demographics
NPI:1346506185
Name:MAHMOOD, UMAR R (DO)
Entity Type:Individual
Prefix:
First Name:UMAR
Middle Name:R
Last Name:MAHMOOD
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2700 CITIZENS PLZ STE 207
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5755
Mailing Address - Country:US
Mailing Address - Phone:361-360-3264
Mailing Address - Fax:833-471-5910
Practice Address - Street 1:2700 CITIZENS PLZ STE 207
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5755
Practice Address - Country:US
Practice Address - Phone:361-360-3264
Practice Address - Fax:833-471-5910
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-05
Last Update Date:2023-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX5852081P2900X, 2081P2900X
TXR8780208VP0014X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine