MEDICARE: SABBAHI & MAKANI 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	122300000X	Dentist	25421	TX

General Provider Information

NPI Number	:	1215288766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SABBAHI & MAKANI PLLC

Provider Business Mailing Address
First Line	:	10738 CLEARVIEW VILLA PL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-5941
Country	:	US
Telephone Number	:	512-635-6588
Fax Number	:

Provider Business Practice Location Address
First Line	:	4015 RICHMOND AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-6817
Country	:	US
Telephone Number	:	512-635-6588
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BUSHRA MAKANI
Credential	:	DMD
Telephone Number	:	512-635-6588

Provider Enumeration Date	:	09/24/2012
Last Update Date	:	09/24/2012

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