Provider Demographics
NPI:1659116150
Name:HAKEEM, FATIMA TYEBJEE (PT)
Entity type:Individual
Prefix:
First Name:FATIMA
Middle Name:TYEBJEE
Last Name:HAKEEM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2919 BRIGHT TRL
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3030
Mailing Address - Country:US
Mailing Address - Phone:832-444-1786
Mailing Address - Fax:
Practice Address - Street 1:15591 CREEK BEND DR STE 201
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4657
Practice Address - Country:US
Practice Address - Phone:832-444-1786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX1127900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist