Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | R8948 | TX |
N | 207QA0505X | Family Doctor - Adult Medicine | R8948 | TX |
NPI | 1164879888 |
---|---|
Provider Name | Katie Taheerah Muhammad-Reed |
First Address | Pearland, TX 77584-9717 |
Second Address | Houston, TX 77047-3763 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2016 |
Last Update Date | 28/06/2019 |