Provider Demographics
NPI:1578385340
Name:MUJEEB, RABIA
Entity type:Individual
Prefix:
First Name:RABIA
Middle Name:
Last Name:MUJEEB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 EAGLE PASS
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-6806
Mailing Address - Country:US
Mailing Address - Phone:817-666-0039
Mailing Address - Fax:
Practice Address - Street 1:1933 EAGLE PASS
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-6806
Practice Address - Country:US
Practice Address - Phone:817-666-0039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEGGroup - Single Specialty