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NPI Code Detail

MEDICARE: PINKI IRVIN OT

MEDICARE:   PINKI  IRVIN  OT
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
1225X00000XOccupational Therapist105266TX

General Provider Information

NPI Number : 1740438001
Entity Type Code : Individual
Provider Name (Legal Business Name) : PINKI IRVIN OT
Provider Business Mailing Address
First Line : 8503 SOUTHMEADOW DR
Second Line :
City : HOUSTON
State : TX
Zip : 77071-2439
Country : US
Telephone Number : 713-778-9695
Fax Number :
Provider Business Practice Location Address
First Line : 8427A STELLA LINK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77025-2915
Country : US
Telephone Number : 713-218-6683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2008
Last Update Date : 08/28/2008

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Directions to “ PINKI IRVIN OT” Practice Location

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