Provider Demographics
NPI:1841953338
Name:NYIRABASHATSI, FLORIDE
Entity type:Individual
Prefix:
First Name:FLORIDE
Middle Name:
Last Name:NYIRABASHATSI
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 1:20019 UPLAND CREEK DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2202
Mailing Address - Country:US
Mailing Address - Phone:832-946-3295
Mailing Address - Fax:
Practice Address - Street 1:20019 UPLAND CREEK DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2202
Practice Address - Country:US
Practice Address - Phone:832-946-3295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX212036224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant