1053366351 NPI number — NABIL T KHOURY M.D.

Table of content: NABIL T KHOURY M.D. (NPI 1053366351)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053366351 NPI number — NABIL T KHOURY M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KHOURY
Provider First Name:
NABIL
Provider Middle Name:
T
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053366351
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/30/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1125 CYPRESS STATION DR
Provider Second Line Business Mailing Address:
UNIT A3
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77090-3054
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-410-1464
Provider Business Mailing Address Fax Number:
281-310-6602

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1125 CYPRESS STATION DR
Provider Second Line Business Practice Location Address:
A3
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77090-3054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-410-1464
Provider Business Practice Location Address Fax Number:
281-310-6602
Provider Enumeration Date:
05/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RI0200X , with the licence number:  N1364 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X , with the licence number: N1364 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0276634 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".




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