Healthcare Provider Details

I. General information

NPI: 1851759906
Provider Name (Legal Business Name): AISHA IBRAHIM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 02/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5322 SAN PABLO GARDENS DR
HOUSTON TX
77045-4061
US

IV. Provider business mailing address

5322 SAN PABLO GARDENS DR
HOUSTON TX
77045-4061
US

V. Phone/Fax

Practice location:
  • Phone: 713-212-9701
  • Fax: 713-513-5585
Mailing address:
  • Phone: 713-212-9701
  • Fax: 713-513-5585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246YC3301X
TaxonomyHospital Based Coding Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246YC3302X
TaxonomyPhysician Office Based Coding Specialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code246YR1600X
TaxonomyRegistered Record Administrator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: