MEDICARE: MOUNKAILA GARBA HAMZA DPT

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	2251X0800X	Orthopedic Physical Therapist	CP043987T	TX

General Provider Information

NPI Number	:	1235853896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOUNKAILA GARBA HAMZA DPT

Provider Business Mailing Address
First Line	:	305 MINK DR
Second Line	:
City	:	ARABI
State	:	LA
Zip	:	70032-2137
Country	:	US
Telephone Number	:	716-909-4846
Fax Number	:

Provider Business Practice Location Address
First Line	:	3711 GARTH RD STE 100
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77521-3176
Country	:	US
Telephone Number	:	281-487-2786
Fax Number	:

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

Provider Enumeration Date	:	09/28/2022
Last Update Date	:	06/02/2025

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