Provider Demographics
NPI:1952780470
Name:HAFIZI, SAFIYA SULEMAN (RN, IBCLC, FNP-C)
Entity Type:Individual
Prefix:
First Name:SAFIYA
Middle Name:SULEMAN
Last Name:HAFIZI
Suffix:
Gender:F
Credentials:RN, IBCLC, FNP-C
Other - Prefix:
Other - First Name:SAFIYA
Other - Middle Name:IMTIYAZ
Other - Last Name:MOMIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4423 LABURNAM RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1013
Mailing Address - Country:US
Mailing Address - Phone:832-566-8949
Mailing Address - Fax:
Practice Address - Street 1:4423 LABURNAM RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1013
Practice Address - Country:US
Practice Address - Phone:832-566-8949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-29
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX744210163WL0100X
TXAP127524363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant