Healthcare Provider Details

I. General information

NPI: 1902472764
Provider Name (Legal Business Name): ASMAA RASHID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 09/16/2023
Certification Date: 09/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12579 RICHMOND AVE
HOUSTON TX
77082-2552
US

IV. Provider business mailing address

6720 BERTNER AVE # G151D
HOUSTON TX
77030-2604
US

V. Phone/Fax

Practice location:
  • Phone: 832-644-6265
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberU6058
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: