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NPI Code Detail

MEDICARE: RAZIA FATHIMA

MEDICARE:   RAZIA  FATHIMA
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
1101YM0800XMental Health Counselor1232185TX

General Provider Information

NPI Number : 1558206763
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAZIA FATHIMA
Provider Business Mailing Address
First Line : 4030 CHESTER BAY LN
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-1986
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4030 CHESTER BAY LN
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-1986
Country : US
Telephone Number : 832-863-1613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ RAZIA FATHIMA ” Practice Location

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