Provider Demographics
NPI:1013425321
Name:MOMIN, NEELAM NOORALI (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:NEELAM
Middle Name:NOORALI
Last Name:MOMIN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13711 COLDFALL CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3308
Mailing Address - Country:US
Mailing Address - Phone:832-282-6901
Mailing Address - Fax:
Practice Address - Street 1:11511 VETERANS MEMORIAL DR # 3
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-2611
Practice Address - Country:US
Practice Address - Phone:281-444-7726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134659363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily