MEDICARE: HEALTH ALAST SPRING , PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1063138469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH ALAST SPRING , PLLC

Provider Business Mailing Address
First Line	:	6620 CYPRESSWOOD DR STE 110
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7748
Country	:	US
Telephone Number	:	281-376-2225
Fax Number	:

Provider Business Practice Location Address
First Line	:	6620 CYPRESSWOOD DR STE 110
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7748
Country	:	US
Telephone Number	:	281-376-2225
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SHAHBUDIN SUNESARA
Credential	:
Telephone Number	:	832-868-1817

Provider Enumeration Date	:	10/17/2022
Last Update Date	:	10/19/2022

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Directions to “HEALTH ALAST SPRING , PLLC ” Practice Location

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