Organization
FAVOR HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWAKALITU RAJI SCOPE OF PRACTICE (T (PROVIDER)
(713) 594-1223
Entity
Organization
Contact information
Practice address
9816 MEMORIAL BLVD STE 207, HUMBLE, TX 77338-4206
(281) 886-8595
(281) 884-3616
Mailing address
10047 SMALL PEBBLE WAY, HUMBLE, TX 77396-3060
(281) 886-8595
(281) 884-3616
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841817020
NPI
TX
Enumeration date
03/06/2021
Last updated
12/29/2022
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