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NPI Code Detail

MEDICARE: FARAH HAMMAM

MEDICARE: FARAH HAMMAM
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
1106S00000XBehavior Technician
2103K00000XBehavior AnalystTX

General Provider Information

NPI Number : 1942768908
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARAH HAMMAM
Provider Business Mailing Address
First Line : 21755 I45 N BLDG 8
Second Line :
City : SPRING
State : TX
Zip : 77388-3621
Country : US
Telephone Number : 346-200-9525
Fax Number :
Provider Business Practice Location Address
First Line : 21755 I45 N BLDG 8
Second Line :
City : SPRING
State : TX
Zip : 77388-3621
Country : US
Telephone Number : 346-200-9525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2019
Last Update Date : 09/24/2024

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Directions to “ FARAH HAMMAM ” Practice Location

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