Individual
MR. DERAR MAHMOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
12777 BEECHNUT ST, HOUSTON, TX 77072-3820
(281) 879-8040
Mailing address
17911 HYDE COVE CT, RICHMOND, TX 77407-5010
(713) 384-0525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113970
TEXAS OCCUPATIONAL THERAPY LICENSE
TX
Enumeration date
04/11/2008
Last updated
03/15/2022
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