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NPI Code Detail

MEDICARE: DR. NURAH HEMEIDA PT, DPT, CSCS

MEDICARE: DR. NURAH HEMEIDA PT, DPT, CSCS
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
1225100000XPhysical Therapist1277676TX

General Provider Information

NPI Number : 1114471257
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NURAH HEMEIDA PT, DPT, CSCS
Provider Business Mailing Address
First Line : 803 OAK PARK DR
Second Line :
City : ROUND ROCK
State : TX
Zip : 78681-4077
Country : US
Telephone Number : 512-468-3135
Fax Number :
Provider Business Practice Location Address
First Line : 6101 WINDHAVEN PKWY STE 145
Second Line :
City : PLANO
State : TX
Zip : 75093-8198
Country : US
Telephone Number : 972-473-8980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2016
Last Update Date : 08/25/2022

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