Basic Information
| Provider Information | |||||||||
| NPI: | 1669626339 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAHMAAN-RUSSELL | ||||||||
| FirstName: | KAMEELAH | ||||||||
| MiddleName: | |||||||||
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| Credential: | D.O. | ||||||||
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| OtherLastName: | RAHMAAN | ||||||||
| OtherFirstName: | KAMEELAH | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1977 BUTLER BLVD | ||||||||
| Address2: | SUITE E4.400 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770304101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137984857 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1977 BUTLER BLVD | ||||||||
| Address2: | SUITE E4.400 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770304101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137984857 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2008 | ||||||||
| LastUpdateDate: | 11/21/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | BP10050167 | TX | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.