MEDICARE: ALI ALKHIRO 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	122300000X	Dentist	31212	TX

General Provider Information

NPI Number	:	1477938371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI ALKHIRO DDS

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2015
Last Update Date	:	02/03/2020

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Directions to “ ALI ALKHIRO DDS” Practice Location

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