Healthcare Provider Details

I. General information

NPI: 1609221175
Provider Name (Legal Business Name): HANIA TOFIK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2016
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 CAMBRIDGE ST FL 8
HOUSTON TX
77030-4202
US

IV. Provider business mailing address

7200 CAMBRIDGE ST FL 8
HOUSTON TX
77030-4202
US

V. Phone/Fax

Practice location:
  • Phone: 713-798-3390
  • Fax:
Mailing address:
  • Phone: 713-798-3390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP130449
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP130449
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: