MEDICARE: DR. LOURICE KAMEL ABDELMELEK 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	207Q00000X	Family Medicine Physician	K0582	TX

General Provider Information

NPI Number	:	1316946742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOURICE KAMEL ABDELMELEK M.D.

Provider Business Mailing Address
First Line	:	6500 WEST LOOP S STE 200B
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-3503
Country	:	US
Telephone Number	:	712-486-2900
Fax Number	:	713-664-1272

Provider Business Practice Location Address
First Line	:	6500 WEST LOOP S STE 200B
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-3503
Country	:	US
Telephone Number	:	713-486-2900
Fax Number	:	713-664-1272

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	05/27/2022

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