Healthcare Provider Details

I. General information

NPI: 1528052982
Provider Name (Legal Business Name): ATTA REHMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19255 PARK ROW STE 101
HOUSTON TX
77084-7309
US

IV. Provider business mailing address

19255 PARK ROW STE 101
HOUSTON TX
77084-7309
US

V. Phone/Fax

Practice location:
  • Phone: 281-816-6455
  • Fax: 281-914-4361
Mailing address:
  • Phone: 281-816-6455
  • Fax: 281-914-4361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberN6609
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: