Healthcare Provider Details

I. General information

NPI: 1376467563
Provider Name (Legal Business Name): PRECISION PHYSICAL MEDICINE AND REHABILITATION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1226 PELHAM PL
SUGAR LAND TX
77479-2876
US

IV. Provider business mailing address

1226 PELHAM PL
SUGAR LAND TX
77479-2876
US

V. Phone/Fax

Practice location:
  • Phone: 917-689-5344
  • Fax:
Mailing address:
  • Phone: 917-689-5344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P0301X
TaxonomyBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: MANISHA BAWA
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 917-689-5344