Healthcare Provider Details

I. General information

NPI: 1821908153
Provider Name (Legal Business Name): ASRA FARUQI SAMEER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

P.O.BOX 23144 CINCO RANCH BLVD STE B
KATY TX
77494
US

IV. Provider business mailing address

P.O.BOX 23144 CINCO RANCH BLVD STE B
KATY TX
77494
US

V. Phone/Fax

Practice location:
  • Phone: 713-858-6189
  • Fax:
Mailing address:
  • Phone: 713-858-6189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number103669
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: