Most Relevant Information
Provider Data
  | NPI Number: | 1003344664 | 
| Provider Name: | SHAZIA AHMAD | 
| Entity Type: | Individual | 
| Taxonomy Code: | 224Z00000X | 
| Specialty: | Occupational Therapy Assistant | 
| License Number: | 206222 | 
Most Important Dates
  | Enumeration Date: | 05/26/2017 | 
| Last Updated: | 05/26/2017 | 
Provider Practice Location
  4141 S BRAESWOOD BLVD
      
      HOUSTON
      TX
      770253307
  Practice Location Phone/Fax
      | Phone: | 7138391501 | 
| Fax: | 
Provider Mailing Location
  1918 MARIPOSA EDGE LN
      
      RICHMOND
      TX
      774696382
  Provider Mailing Phone/Fax
      | Phone: | |
| Fax: |