MEDICARE: DR. KARIM JOHN HACHMEH D.D.S.

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	057372	NY
2	122300000X	Dentist	31465	TX
3	1223G0001X	General Practice Dentistry	31465	TX

General Provider Information

NPI Number	:	1134537905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARIM JOHN HACHMEH D.D.S.

Provider Business Mailing Address
First Line	:	5885 SAN FELIPE ST # 2203
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-3024
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5885 SAN FELIPE ST STE 525
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-3434
Country	:	US
Telephone Number	:	346-446-6592
Fax Number	:

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

Provider Enumeration Date	:	07/24/2014
Last Update Date	:	09/27/2022

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