Provider Demographics
NPI:1194269969
Name:MOMIN, RASHMI PRASLA (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:RASHMI
Middle Name:PRASLA
Last Name:MOMIN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 SUNCLAIR PARK LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5361
Mailing Address - Country:US
Mailing Address - Phone:832-875-2552
Mailing Address - Fax:
Practice Address - Street 1:2222 GREENHOUSE RD
Practice Address - Street 2:SUITE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7287
Practice Address - Country:US
Practice Address - Phone:281-599-8070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP122011363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX12664OtherPRESCRIPTIVE AUTHORITY NUMBER
TXAP122011OtherAPRN LICENSE