Provider Demographics
NPI:1790415966
Name:LARBI, IKRAM
Entity Type:Individual
Prefix:MRS
First Name:IKRAM
Middle Name:
Last Name:LARBI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:IKRAM
Other - Middle Name:
Other - Last Name:LARBI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11601 KATY FWY STE 115
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1816
Mailing Address - Country:US
Mailing Address - Phone:346-977-1015
Mailing Address - Fax:
Practice Address - Street 1:11601 KATY FWY STE 115
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1816
Practice Address - Country:US
Practice Address - Phone:346-977-1015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-12
Last Update Date:2022-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX424722355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant