Organization Active NPI

Memory Rehabilitation Specialist PLLC

  • Physical Medicine & Rehabilitation Physician
  • Richmond, TX
National Provider Identifier
1871190181
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MEMORY REHABILITATION SPECIALIST PLLC
Practice address
9214 Clearwater Ranch LN
Richmond, TX 77407-1700
Phone
(832) 630-2254
NPI assigned
Oct 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Asha Dhuka, MDNPI 1417393265
Title
Owner
Phone
(832) 630-7754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

9214 Clearwater Ranch LN
Richmond, TX 77407-1700

Mailing address

9214 Clearwater Ranch LN
Richmond, TX 77407-1700

Other identifiers 1

IdentifierTypeStateIssuer
Q6745OtherTXSTATE LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1871190181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9214 CLEARWATER RANCH LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9214 CLEARWATER RANCH LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071700",
            "telephone_number": "832-630-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY REHABILITATION SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "DHUKA",
        "authorized_official_first_name": "ASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-630-7754",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "Q6745",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.