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NPI Code Detail

MEDICARE: TEXAS SPECIALTY CARE PLLC

MEDICARE: TEXAS SPECIALTY CARE PLLC
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1639502289
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS SPECIALTY CARE PLLC
Provider Business Mailing Address
First Line : 1932 LAKE LANDING DR
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-3997
Country : US
Telephone Number : 832-540-3908
Fax Number :
Provider Business Practice Location Address
First Line : 1110 NASA PKWY STE 410
Second Line :
City : HOUSTON
State : TX
Zip : 77058-3310
Country : US
Telephone Number : 832-540-3908
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : AYESHA RASHDI
Credential : M.D
Telephone Number : 832-540-3908
Provider Enumeration Date : 08/19/2013
Last Update Date : 08/19/2013

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Directions to “TEXAS SPECIALTY CARE PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.