=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306153135
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RASHA M BABIKIR SA-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2010
-----------------------------------------------------
Last Update Date | 08/31/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6301 STONEWOOD DR APT. # 2510
-----------------------------------------------------
City | PLANO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75024-5269
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-432-2333
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6301 STONEWOOD DR APT. # 2510
-----------------------------------------------------
City | PLANO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75024-5269
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-432-2333
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 246ZC0007X
-----------------------------------------------------
Taxonomy Name | Surgical Assistant
-----------------------------------------------------
License Number | 10-212
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------