MEDICARE: RAWDA NOURAIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	966581	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1158956	TX

General Provider Information

NPI Number	:	1275195570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAWDA NOURAIN

Provider Business Mailing Address
First Line	:	4810 RIVERSTONE BLVD
Second Line	:	SUITE 100
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4092
Country	:	US
Telephone Number	:	682-559-1339
Fax Number	:

Provider Business Practice Location Address
First Line	:	4810 RIVERSTONE BLVD
Second Line	:	SUITE 300
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4092
Country	:	US
Telephone Number	:	682-559-1339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2019
Last Update Date	:	07/03/2024

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Directions to “ RAWDA NOURAIN ” Practice Location

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