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NPI Code Detail

MEDICARE: SHEIK BACCHUS

MEDICARE: SHEIK BACCHUS
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1508138215
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEIK BACCHUS
Provider Business Mailing Address
First Line : 20333 STATE HIGHWAY 249 STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77070-2613
Country : US
Telephone Number : 281-748-9088
Fax Number : 866-240-5731
Provider Business Practice Location Address
First Line : 20333 STATE HIGHWAY 249 STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77070-2613
Country : US
Telephone Number : 281-748-9088
Fax Number : 866-240-5731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2012
Last Update Date : 05/02/2024

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Directions to “ SHEIK BACCHUS ” Practice Location

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