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NPI Code Detail

MEDICARE: NASIMA MOTT

MEDICARE:   NASIMA  MOTT
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
1363A00000XPhysician AssistantTX

General Provider Information

NPI Number : 1578421889
Entity Type Code : Individual
Provider Name (Legal Business Name) : NASIMA MOTT
Provider Business Mailing Address
First Line : 400 W 5TH ST APT 6101
Second Line :
City : PROSPER
State : TX
Zip : 75078-3989
Country : US
Telephone Number : 862-273-2125
Fax Number :
Provider Business Practice Location Address
First Line : 400 W 5TH ST APT 6101
Second Line :
City : PROSPER
State : TX
Zip : 75078-3989
Country : US
Telephone Number : 862-273-2125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “ NASIMA MOTT ” Practice Location

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