MEDICARE: JOHN-STEPHANE SHOUMOU KOUAM MD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1457055733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN-STEPHANE SHOUMOU KOUAM MD

Provider Business Mailing Address
First Line	:	442 BRISTOL ST
Second Line	:
City	:	ROANOKE
State	:	TX
Zip	:	76262-6415
Country	:	US
Telephone Number	:	682-554-1974
Fax Number	:

Provider Business Practice Location Address
First Line	:	6363 FOREST PARK RD FL 27
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-5479
Country	:	US
Telephone Number	:	214-648-7312
Fax Number	:	214-648-7370

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

Provider Enumeration Date	:	03/29/2023
Last Update Date	:	03/29/2023

Similar Medicare Providers

1770682585 — DALLAS MEDTEX LP
Practice Location Address:

6363 FOREST PARK RD , SUITE # 810
DALLAS, TX
75235-5479

Practice Phone: 214-631-3139
Practice Fax: 214-350-1155

1245304385 — FOOTWEAR CONSULTANTS, INC
Practice Location Address:

6363 FOREST PARK RD , SUITE B-215
DALLAS, TX
75235-5479

Practice Phone: 214-357-3535
Practice Fax:

1992943658 — VENKATA MARTHANDA SASTRY MUKKAVILLI MD
Practice Location Address:

6363 FOREST PARK RD FL 7 , SUITE 749
DALLAS, TX
75235-5479

Practice Phone: 214-645-8500
Practice Fax: 214-648-3775

1740565084 — MEDTEX OF DALLAS
Practice Location Address:

6363 FOREST PARK RD , SUITE 810
DALLAS, TX
75235-5479

Practice Phone: 214-631-3139
Practice Fax: 214-350-1155

1134507049 — MS. SAYONI LAHIRI M.S, CGC
Practice Location Address:

6363 FOREST PARK RD , SUITE BLB 306
DALLAS, TX
75235-5479

Practice Phone: 408-332-1149
Practice Fax:

1225560055 — MATTHEW CLEM PHD
Practice Location Address:

6363 FOREST PARK RD
DALLAS, TX
75235-5479

Practice Phone: 214-648-4316
Practice Fax:

1760916076 — ANITHA VARGHESE JOSEPH
Practice Location Address:

6363 FOREST PARK RD STE 749
DALLAS, TX
75235-5479

Practice Phone: 214-645-8500
Practice Fax: 214-645-3775

Directions to “ JOHN-STEPHANE SHOUMOU KOUAM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.