MEDICARE: DR. SALEHA REHMAN D.D.S.

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	1223G0001X	General Practice Dentistry	24189	TX

General Provider Information

NPI Number	:	1215169461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALEHA REHMAN D.D.S.

Provider Business Mailing Address
First Line	:	7619 PINE RIDGE TERRACE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081
Country	:	US
Telephone Number	:	832-692-1892
Fax Number	:

Provider Business Practice Location Address
First Line	:	7619 PINE RIDGE TERRACE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081
Country	:	US
Telephone Number	:	832-692-1892
Fax Number	:

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

Provider Enumeration Date	:	08/20/2009
Last Update Date	:	10/18/2010

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