MEDICARE: MISHAAL BABAR RASHID CCC-SLP

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	14360376	TX

General Provider Information

NPI Number	:	1548019151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISHAAL BABAR RASHID CCC-SLP

Provider Business Mailing Address
First Line	:	20110 PEBBLE HOLW
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-4178
Country	:	US
Telephone Number	:	832-407-8457
Fax Number	:

Provider Business Practice Location Address
First Line	:	2990 RICHMOND AVE STE 180
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-3116
Country	:	US
Telephone Number	:	281-829-0103
Fax Number	:

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

Provider Enumeration Date	:	05/15/2024
Last Update Date	:	05/15/2024

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