| Mr Derar Mahmoud, OTR/L | |
|
12777 Beechnut St, Houston, TX 77072-3820 | |
| (281) 879-8040 | |
| Not Available |
| Full Name | Mr Derar Mahmoud |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 12777 Beechnut St, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912170770 | NPI | - | NPPES |
| 113970 | Other | TX | TEXAS OCCUPATIONAL THERAPY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 113970 (Texas) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839 |
| Provider Name | Reliant Pro Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1265881197 PECOS PAC ID: 1759768047 Enrollment ID: O20220505002127 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derar Mahmoud, OTR/L 17911 Hyde Cove Ct, Richmond, TX 77407-5010 Ph: (713) 384-0525 | Mr Derar Mahmoud, OTR/L 12777 Beechnut St, Houston, TX 77072-3820 Ph: (281) 879-8040 |
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