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NPI Code Detail

MEDICARE: RUBAIYAT TABASSUM

MEDICARE: RUBAIYAT TABASSUM
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
1183500000XPharmacist57277TX

General Provider Information

NPI Number : 1851768808
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBAIYAT TABASSUM
Provider Business Mailing Address
First Line : 15770 BELLAIRE BLVD APT 1001
Second Line :
City : HOUSTON
State : TX
Zip : 77083-3006
Country : US
Telephone Number : 832-782-7858
Fax Number :
Provider Business Practice Location Address
First Line : 1600 JACKSON ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-3248
Country : US
Telephone Number : 281-342-5219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2015
Last Update Date : 08/25/2015

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Directions to “ RUBAIYAT TABASSUM ” Practice Location

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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.

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