Healthcare Provider Details

I. General information

NPI: 1639273956
Provider Name (Legal Business Name): NICOLAS J DAOURA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 SOUTHWEST FWY SUITE 610
HOUSTON TX
77074-1802
US

IV. Provider business mailing address

7777 SOUTHWEST FWY SUITE 610
HOUSTON TX
77074-1802
US

V. Phone/Fax

Practice location:
  • Phone: 713-339-9949
  • Fax: 713-339-9888
Mailing address:
  • Phone: 713-339-9949
  • Fax: 713-339-9888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberL7347
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: