Provider Demographics
NPI:1255624466
Name:KHAN, SAMERA ASLAM
Entity type:Individual
Prefix:
First Name:SAMERA
Middle Name:ASLAM
Last Name:KHAN
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 1:11569 S HIGHWAY 6
Mailing Address - Street 2:SUTE 205
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-4932
Mailing Address - Country:US
Mailing Address - Phone:281-746-3053
Mailing Address - Fax:
Practice Address - Street 1:14090 SOUTHWEST FWY
Practice Address - Street 2:SUITE 300
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3677
Practice Address - Country:US
Practice Address - Phone:281-746-3053
Practice Address - Fax:866-741-3769
Is Sole Proprietor?:No
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX347712355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant