Provider Demographics
NPI:1669293924
Name:MALEK, RUMANA (RN, BSN, MSN)
Entity type:Individual
Prefix:
First Name:RUMANA
Middle Name:
Last Name:MALEK
Suffix:
Gender:F
Credentials:RN, BSN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 APACHE DR
Mailing Address - Street 2:
Mailing Address - City:GLENN HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:75154-8500
Mailing Address - Country:US
Mailing Address - Phone:469-785-2250
Mailing Address - Fax:
Practice Address - Street 1:208 APACHE DR
Practice Address - Street 2:
Practice Address - City:GLENN HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:75154-8500
Practice Address - Country:US
Practice Address - Phone:469-785-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1054003163WP0808X
NY916507163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health