Provider Demographics
NPI:1164947164
Name:SANDERS, ATTALLAH YASMEEN
Entity Type:Individual
Prefix:
First Name:ATTALLAH
Middle Name:YASMEEN
Last Name:SANDERS
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 1:5222 FM 1960 RD W STE 222G
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4408
Mailing Address - Country:US
Mailing Address - Phone:281-296-3588
Mailing Address - Fax:
Practice Address - Street 1:5222 FM 1960 RD W STE 222G
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4408
Practice Address - Country:US
Practice Address - Phone:281-296-3588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-10
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health