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1184145112

NPI Code Detail

MEDICARE: DR. SIMONA RASQUINHA MD

MEDICARE: DR. SIMONA RASQUINHA MD

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	207Q00000X	Family Medicine Physician	MT212830	PA
2	207Q00000X	Family Medicine Physician	V5330	TX
3	207Q00000X	Family Medicine Physician	4301501315	MI
4	207QA0401X	Addiction Medicine (Family Medicine) Physician	V5330	TX

General Provider Information

NPI Number	:	1184145112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIMONA RASQUINHA MD

Provider Business Mailing Address
First Line	:	11511 SHADOW CREEK PKWY
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7298
Country	:	US
Telephone Number	:	713-442-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1504 TAUB LOOP
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1608
Country	:	US
Telephone Number	:	713-879-8890
Fax Number	:

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

Provider Enumeration Date	:	06/29/2017
Last Update Date	:	05/21/2026

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Directions to “ DR. SIMONA RASQUINHA MD” Practice Location

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