Organization
MEMORY REHABILITATION SPECIALIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHA DHUKA MD (OWNER)
(832) 630-7754
Entity
Organization
Contact information
Practice address
9214 CLEARWATER RANCH LN, RICHMOND, TX 77407-1700
(832) 630-2254
Mailing address
9214 CLEARWATER RANCH LN, RICHMOND, TX 77407-1700
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q6745
STATE LICENSE
TX
Enumeration date
10/08/2020
Last updated
10/08/2020
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