MEDICARE: TAVISH SAIDMASIH

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	224Z00000X	Occupational Therapy Assistant	7440	CA
2	224Z00000X	Occupational Therapy Assistant	216888	TX

General Provider Information

NPI Number	:	1174270854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAVISH SAIDMASIH

Provider Business Mailing Address
First Line	:	305 NE LOOP 820 STE 200
Second Line	:
City	:	HURST
State	:	TX
Zip	:	76053-7211
Country	:	US
Telephone Number	:	817-292-8787
Fax Number	:	817-789-6849

Provider Business Practice Location Address
First Line	:	9220 KIRBY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2533
Country	:	US
Telephone Number	:	713-383-9700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2022
Last Update Date	:	03/24/2026

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Directions to “ TAVISH SAIDMASIH ” Practice Location

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