MEDICARE: SASHA HANA JOB

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
1	225100000X	Physical Therapist	10068620	TX
2	251G00000X	Community Based Hospice Care Agency	10009938	TX
3	376J00000X	Homemaker
4	225100000X	Physical Therapist	019355	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942766936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SASHA HANA JOB

Provider Business Mailing Address
First Line	:	9100 SOUTHWEST FWY STE 202
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1518
Country	:	US
Telephone Number	:	832-359-6672
Fax Number	:	832-408-7509

Provider Business Practice Location Address
First Line	:	9100 SOUTHWEST FWY STE 202
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1518
Country	:	US
Telephone Number	:	832-359-6672
Fax Number	:	832-408-7509

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2019
Last Update Date	:	11/05/2024

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Directions to “ SASHA HANA JOB ” Practice Location

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