Healthcare Provider Details

I. General information

NPI: 1831531318
Provider Name (Legal Business Name): NAEL BACHOUR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2013
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16815 SPRING CREEK FOREST DR
SPRING TX
77379-4800
US

IV. Provider business mailing address

16815 SPRING CREEK FOREST DR
SPRING TX
77379-4800
US

V. Phone/Fax

Practice location:
  • Phone: 281-370-6911
  • Fax:
Mailing address:
  • Phone: 281-370-6911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number29236
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: