Provider Demographics
NPI:1548849557
Name:ALI, MAHEEN (NP)
Entity type:Individual
Prefix:
First Name:MAHEEN
Middle Name:
Last Name:ALI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3281 ROCKY CREEK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4750
Mailing Address - Country:US
Mailing Address - Phone:812-607-5551
Mailing Address - Fax:281-607-0330
Practice Address - Street 1:3281 ROCKY CREEK DR STE 200
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4750
Practice Address - Country:US
Practice Address - Phone:281-607-5551
Practice Address - Fax:281-607-0330
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX910907163W00000X
TX5385363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse