MEDICARE: AALIYA MOMIN FNP

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	363LF0000X	Family Nurse Practitioner	1015253	TX

General Provider Information

NPI Number	:	1538762588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AALIYA MOMIN FNP

Provider Business Mailing Address
First Line	:	10021 MAIN ST STE B4
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-5255
Country	:	US
Telephone Number	:	346-223-2140
Fax Number	:

Provider Business Practice Location Address
First Line	:	10021 MAIN ST STE B4
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-5255
Country	:	US
Telephone Number	:	832-708-7152
Fax Number	:

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

Provider Enumeration Date	:	11/20/2020
Last Update Date	:	08/28/2025

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