Provider Demographics
NPI:1538416474
Name:MOHAMED, VALARIE RANKINS (NP)
Entity type:Individual
Prefix:MRS
First Name:VALARIE
Middle Name:RANKINS
Last Name:MOHAMED
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6060 RICHMOND AVE
Mailing Address - Street 2:100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-6227
Mailing Address - Country:US
Mailing Address - Phone:713-789-1800
Mailing Address - Fax:
Practice Address - Street 1:6060 RICHMOND AVE
Practice Address - Street 2:100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-6227
Practice Address - Country:US
Practice Address - Phone:713-789-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX646910363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX646910OtherTEXAS BOARD OF NURSE EXAMINERS