Healthcare Provider Details

I. General information

NPI: 1295667079
Provider Name (Legal Business Name): SAMIA SALEEM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22918 THISTLEBURY LN
SPRING TX
77373-8222
US

IV. Provider business mailing address

22918 THISTLEBURY LN
SPRING TX
77373-8222
US

V. Phone/Fax

Practice location:
  • Phone: 832-560-7310
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number219190
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: