Provider Demographics
NPI:1609594373
Name:RAHMAN, EFAZ (PT, DPT)
Entity Type:Individual
Prefix:
First Name:EFAZ
Middle Name:
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 HEIGHTS BLVD APT 234
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-3764
Mailing Address - Country:US
Mailing Address - Phone:424-386-2227
Mailing Address - Fax:
Practice Address - Street 1:2085 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1539
Practice Address - Country:US
Practice Address - Phone:713-526-6143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1365944225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist