Tawanda Gumbo is a Infectious Disease in Dallas, Texas. Tawanda Gumbo practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Tawanda Gumbo is 1255323317. The last update date is 2007-07-08.
Tawanda Gumbo's current location address is 5323 Harry Hines Blvd, Dallas, Texas. You can contact this provider via phone number 2146489914 and fax number 2146482741. The mailing address for Tawanda Gumbo is 5323 Harry Hines Blvd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tawanda Gumbo |
|---|---|
| Address | 5323 Harry Hines Blvd, Dallas, Texas |
| Phone Number | 2146489914 |
| Fax Number | 2146482741 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255323317 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5323 Harry Hines Blvd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 753909113 |
| Phone Number | 2146489914 |
| Fax Number | 2146482741 |
Provider's Primary Taxonomy Detail
| Speciality | Infectious Disease |
|---|---|
| Taxonomy | 207Ri0200X |
| Licence No | 2080 |
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Definition: An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers whi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2353648 | NY | -- |
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What is the Tawanda Gumbo's unique identification number?
The Tawanda Gumbo has been assigned the NPI (National Provider Identifier) Number 1255323317 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Tawanda Gumbo located?
The Tawanda Gumbo is located at 5323 Harry Hines Blvd, Dallas, TX 753909113.
What is Tawanda Gumbo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tawanda Gumbo is Infectious Disease, and the taxonomy code that categorizes this field of expertise is 207Ri0200X.
On what date did Tawanda Gumbo receive its 1255323317 assignment from the Centers for Medicare & Medicaid Services?
The Tawanda Gumbo was assigned its 1255323317 on 2005-08-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tawanda Gumbo most recently updated?
The details pertaining to the Tawanda Gumbo, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.