MEDICARE: ALKHIRO DENTAL PLLC

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	1223G0001X	General Practice Dentistry	31212	TX

General Provider Information

NPI Number	:	1194206755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALKHIRO DENTAL PLLC

Provider Business Mailing Address
First Line	:	3010 RANCHER HOLLOW CT
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-3257
Country	:	US
Telephone Number	:	832-967-2722
Fax Number	:

Provider Business Practice Location Address
First Line	:	8955 HIGHWAY 6 N STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2321
Country	:	US
Telephone Number	:	281-859-9073
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALI ALKHIRO
Credential	:	DDS
Telephone Number	:	832-967-2722

Provider Enumeration Date	:	08/22/2018
Last Update Date	:	02/03/2020

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