MEDICARE: DR. ALI FALAHAT DDS

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	18923	TX

General Provider Information

NPI Number	:	1194942888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALI FALAHAT DDS

Provider Business Mailing Address
First Line	:	5711 HILLCROFT AVE
Second Line	:	SUITE A2
City	:	HOUSTON
State	:	TX
Zip	:	77036
Country	:	US
Telephone Number	:	713-783-6060
Fax Number	:	713-783-6069

Provider Business Practice Location Address
First Line	:	5711 HILLCROFT ST
Second Line	:	SUITE A2
City	:	HOUSTON
State	:	TX
Zip	:	77036-2215
Country	:	US
Telephone Number	:	713-783-6060
Fax Number	:	713-783-6069

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

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	07/12/2016

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