MEDICARE: NABIL T KHOURY M.D.

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	207RI0200X	Infectious Disease Physician	N1364	TX
2	207R00000X	Internal Medicine Physician	N1364	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053366351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NABIL T KHOURY M.D.

Provider Business Mailing Address
First Line	:	1125 CYPRESS STATION DR
Second Line	:	UNIT A3
City	:	HOUSTON
State	:	TX
Zip	:	77090-3054
Country	:	US
Telephone Number	:	832-410-1464
Fax Number	:	281-310-6602

Provider Business Practice Location Address
First Line	:	1125 CYPRESS STATION DR
Second Line	:	A3
City	:	HOUSTON
State	:	TX
Zip	:	77090-3054
Country	:	US
Telephone Number	:	832-410-1464
Fax Number	:	281-310-6602

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	09/30/2013

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