Provider Demographics
NPI:1316178585
Name:MEMON, SAYMA
Entity Type:Individual
Prefix:
First Name:SAYMA
Middle Name:
Last Name:MEMON
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 1:2403 HARBOR CHASE DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3455
Mailing Address - Country:US
Mailing Address - Phone:832-414-0084
Mailing Address - Fax:713-436-6586
Practice Address - Street 1:10228 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8087
Practice Address - Country:US
Practice Address - Phone:713-436-2100
Practice Address - Fax:713-436-2933
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX248501223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics