MEDICARE: PAULINE MUHOHO

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	235Z00000X	Speech-Language Pathologist	102215	TX
2	235Z00000X	Speech-Language Pathologist	15816	CA

General Provider Information

NPI Number	:	1528191681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULINE MUHOHO

Provider Business Mailing Address
First Line	:	6402 DEL MONTE DR
Second Line	:	# 38
City	:	HOUSTON
State	:	TX
Zip	:	77057
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6402 DEL MONTE DR
Second Line	:	# 38
City	:	HOUSTON
State	:	TX
Zip	:	77057-3300
Country	:	US
Telephone Number	:	713-636-3973
Fax Number	:

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	07/08/2007

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Directions to “ PAULINE MUHOHO ” Practice Location

Language	Start Address	Practice Location

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