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NPI Code Detail

MEDICARE: FATIMA TYEBJEE HAKEEM PT

MEDICARE: FATIMA TYEBJEE HAKEEM PT
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 TherapistTX1127900TX

General Provider Information

NPI Number : 1659116150
Entity Type Code : Individual
Provider Name (Legal Business Name) : FATIMA TYEBJEE HAKEEM PT
Provider Business Mailing Address
First Line : 2919 BRIGHT TRL
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-3030
Country : US
Telephone Number : 832-444-1786
Fax Number :
Provider Business Practice Location Address
First Line : 15591 CREEK BEND DR STE 201
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-4657
Country : US
Telephone Number : 832-444-1786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2024
Last Update Date : 06/26/2024

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