Healthcare Provider Details

I. General information

NPI: 1083525166
Provider Name (Legal Business Name): RIJA HUSSAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 WINDHAVEN PKWY STE 125
PLANO TX
75093-8290
US

IV. Provider business mailing address

765 FIELD XING
LITTLE ELM TX
76227-1499
US

V. Phone/Fax

Practice location:
  • Phone: 972-677-7891
  • Fax:
Mailing address:
  • Phone: 339-933-5506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number77841
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: