Provider Demographics
NPI:1841724572
Name:MOMIN, LUBNA L (NP-C)
Entity type:Individual
Prefix:
First Name:LUBNA
Middle Name:L
Last Name:MOMIN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10497 TOWN AND COUNTRY WAY
Mailing Address - Street 2:SUITE 360
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1117
Mailing Address - Country:US
Mailing Address - Phone:713-341-2100
Mailing Address - Fax:713-932-7072
Practice Address - Street 1:10497 TOWN AND COUNTRY WAY
Practice Address - Street 2:SUITE 360
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1117
Practice Address - Country:US
Practice Address - Phone:713-341-2100
Practice Address - Fax:713-932-7072
Is Sole Proprietor?:No
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133023363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily