MEDICARE: ELIZABETH KARKOUR

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	122300000X	Dentist	38731	TX

General Provider Information

NPI Number	:	1447984828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH KARKOUR

Provider Business Mailing Address
First Line	:	18006 SILVER ASH WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-4482
Country	:	US
Telephone Number	:	832-244-0424
Fax Number	:

Provider Business Practice Location Address
First Line	:	9303 HIGHWAY 6 STE 300
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5156
Country	:	US
Telephone Number	:	281-969-7388
Fax Number	:

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

Provider Enumeration Date	:	07/12/2022
Last Update Date	:	05/22/2024

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