Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 1159888 | TX |
NPI | 1578518056 |
---|---|
Provider Name | Shireen Azeemuddin |
First Address | Sugarland, TX 77479 |
Second Address | Houston, TX 77027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 08/07/2007 |