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General NPI Number Information
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NPI Number | 1972009942
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Entity Type | Organization
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Legal Business Name | EL-ZOKM MEDICAL
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Dates
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Enumeration Date | 03/30/2018
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Last Update Date | 03/01/2019
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Provider Practice Location Address
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Address Line | 12727 KIMBERLEY LN STE 300
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City | HOUSTON
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State | TX
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Zip | 77024
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Country | US
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Telephone | 713-522-4411
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Fax | 713-722-8998
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Provider Business Mailing Address
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Address Line | 12727 KIMBERLEY LN STE 300
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City | HOUSTON
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State | TX
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Zip | 77024-4050
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Country | US
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Telephone | 713-522-4411
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Fax | 713-722-8998
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. COURTNEY EL-ZOKM
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Credential |
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Telephone | 281-703-9524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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