Provider Demographics
NPI:1871099176
Name:MOMIN, SABAH ALI (DO)
Entity type:Individual
Prefix:
First Name:SABAH
Middle Name:ALI
Last Name:MOMIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SABAH
Other - Middle Name:
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:790 GENERATIONS DR STE 215
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-0089
Mailing Address - Country:US
Mailing Address - Phone:830-333-9533
Mailing Address - Fax:877-268-6904
Practice Address - Street 1:790 GENERATIONS DR STE 215
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-0089
Practice Address - Country:US
Practice Address - Phone:830-333-9533
Practice Address - Fax:877-268-6904
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXT0290208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program