Provider Demographics
NPI:1467553594
Name:MULEBA, NDAYA (MD)
Entity Type:Individual
Prefix:DR
First Name:NDAYA
Middle Name:
Last Name:MULEBA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 W WHEATLAND RD
Mailing Address - Street 2:ATTN: LYNN HOPE
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3460
Mailing Address - Country:US
Mailing Address - Phone:214-947-5412
Mailing Address - Fax:214-947-5948
Practice Address - Street 1:6410 FANNIN ST STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3004
Practice Address - Country:US
Practice Address - Phone:832-325-7131
Practice Address - Fax:713-526-2216
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7062207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156122701Medicaid
TX162141904Medicaid
TX156122701Medicaid
TX162141904Medicaid
TX00999TMedicare UPIN
TX162141904Medicaid