Provider Demographics
NPI:1609188069
Name:MOHDER, GHALIA (AU-D)
Entity Type:Individual
Prefix:DR
First Name:GHALIA
Middle Name:
Last Name:MOHDER
Suffix:
Gender:F
Credentials:AU-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 CULLEN BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3921
Mailing Address - Country:US
Mailing Address - Phone:281-606-3100
Mailing Address - Fax:281-606-3102
Practice Address - Street 1:2950 CULLEN BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3921
Practice Address - Country:US
Practice Address - Phone:281-606-3100
Practice Address - Fax:281-606-3102
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80320231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist