Provider Demographics
NPI:1588371959
Name:SCARBROUGH, HALAMAS (LMT)
Entity type:Individual
Prefix:
First Name:HALAMAS
Middle Name:
Last Name:SCARBROUGH
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4214 INKBERRY VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-1712
Mailing Address - Country:US
Mailing Address - Phone:281-702-7001
Mailing Address - Fax:
Practice Address - Street 1:2990 RICHMOND AVE STE 580
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-2313
Practice Address - Country:US
Practice Address - Phone:281-702-7001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLMT107813225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist