Provider Demographics
NPI:1215549340
Name:HYDER, TEHMINA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:TEHMINA
Middle Name:
Last Name:HYDER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13715 OFFICE PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070
Mailing Address - Country:US
Mailing Address - Phone:832-756-2749
Mailing Address - Fax:859-201-1151
Practice Address - Street 1:13715 OFFICE PARK DRIVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070
Practice Address - Country:US
Practice Address - Phone:832-756-2749
Practice Address - Fax:859-201-1151
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64114104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX394812701Medicaid