Provider Demographics
NPI:1386831204
Name:SALIMAH CUMBER MD PA
Entity Type:Organization
Organization Name:SALIMAH CUMBER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALIMAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-263-1955
Mailing Address - Street 1:1826 WIRT ROAD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-2400
Mailing Address - Country:US
Mailing Address - Phone:713-263-1955
Mailing Address - Fax:713-263-1975
Practice Address - Street 1:1826 WIRT ROAD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-2400
Practice Address - Country:US
Practice Address - Phone:713-263-1955
Practice Address - Fax:713-263-1975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9513207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00928TMedicare PIN