Provider Demographics
NPI:1053115295
Name:SPEECH, BASIRAT
Entity type:Individual
Prefix:
First Name:BASIRAT
Middle Name:
Last Name:SPEECH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 TURTLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-5258
Mailing Address - Country:US
Mailing Address - Phone:832-279-0637
Mailing Address - Fax:
Practice Address - Street 1:823 TURTLE CREEK DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-5258
Practice Address - Country:US
Practice Address - Phone:832-279-0637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX692780251F00000X, 163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No251F00000XAgenciesHome Infusion