Healthcare Provider Details

I. General information

NPI: 1659519973
Provider Name (Legal Business Name): SHERRI TAJUDEEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2009
Last Update Date: 01/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 WEDNESBURY LN STE 365
HOUSTON TX
77074-2925
US

IV. Provider business mailing address

8200 WEDNESBURY LN STE 365
HOUSTON TX
77074-2925
US

V. Phone/Fax

Practice location:
  • Phone: 713-859-6661
  • Fax: 713-484-6318
Mailing address:
  • Phone: 713-859-6661
  • Fax: 713-484-6318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1000035
License Number StateTX

VIII. Authorized Official

Name: MRS. SHERRI TAJUDEEN
Title or Position: CEO
Credential:
Phone: 713-859-6661