Provider Demographics
NPI:1265596993
Name:HAMID, KAREN MITSCHELL (PT)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:MITSCHELL
Last Name:HAMID
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:MITSCHELL
Other - Last Name:LOGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 18618
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-8618
Mailing Address - Country:US
Mailing Address - Phone:281-804-0619
Mailing Address - Fax:281-545-9970
Practice Address - Street 1:901 3RD ST
Practice Address - Street 2:SUITE 19
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-2605
Practice Address - Country:US
Practice Address - Phone:281-804-0619
Practice Address - Fax:281-545-9970
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1082881225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1265596993OtherNPI
TX364618156OtherGREAT WEST
TX8T1541OtherBCBS
TX1766347-01Medicaid
TX8T1541OtherBCBS
TXP34347Medicare UPIN