MEDICARE: DR. CARMEN JULIA KAMAS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	13901	TX

General Provider Information

NPI Number	:	1396723847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARMEN JULIA KAMAS DDS

Provider Business Mailing Address
First Line	:	4519 BEECH ST
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-3720
Country	:	US
Telephone Number	:	713-667-4039
Fax Number	:	713-660-0307

Provider Business Practice Location Address
First Line	:	1123 LEHALL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4911
Country	:	US
Telephone Number	:	713-790-1314
Fax Number	:	713-790-9296

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	07/08/2007

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