MEDICARE: MR. RAMI G ASFOUR CRT

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	2278P1005X	Pulmonary Rehabilitation Certified Respiratory Therapist	58726	TX

General Provider Information

NPI Number	:	1306041868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAMI G ASFOUR CRT

Provider Business Mailing Address
First Line	:	24910 HICKORY HILL RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77380-2535
Country	:	US
Telephone Number	:	281-367-2553
Fax Number	:

Provider Business Practice Location Address
First Line	:	2352 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3700
Country	:	US
Telephone Number	:	281-587-8880
Fax Number	:	281-587-8881

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

Provider Enumeration Date	:	06/15/2007
Last Update Date	:	07/08/2007

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