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NPI Code Detail

MEDICARE: WAJEEHA RASUL

MEDICARE: WAJEEHA RASUL
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 TechnicianBACB1117695TX

General Provider Information

NPI Number : 1972358836
Entity Type Code : Individual
Provider Name (Legal Business Name) : WAJEEHA RASUL
Provider Business Mailing Address
First Line : 1332 SEABROOK DR
Second Line :
City : PLANO
State : TX
Zip : 75023-2927
Country : US
Telephone Number : 214-546-4867
Fax Number :
Provider Business Practice Location Address
First Line : 5160 VILLAGE CREEK DR STE 2002
Second Line :
City : PLANO
State : TX
Zip : 75093-4498
Country : US
Telephone Number : 682-324-9376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2024
Last Update Date : 04/23/2024

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Directions to “ WAJEEHA RASUL ” Practice Location

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