MEDICARE: DR. BECHARA Y GHORAYEB 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	207YX0901X	Otology & Neurotology Physician	H1090	TX

General Provider Information

NPI Number	:	1538160312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BECHARA Y GHORAYEB M.D.

Provider Business Mailing Address
First Line	:	1140 BUSINESS CENTER DR
Second Line	:	SUITE 560
City	:	HOUSTON
State	:	TX
Zip	:	77043-2737
Country	:	US
Telephone Number	:	713-464-2614
Fax Number	:

Provider Business Practice Location Address
First Line	:	1140 BUSINESS CENTER DR
Second Line	:	SUITE 560
City	:	HOUSTON
State	:	TX
Zip	:	77043-2737
Country	:	US
Telephone Number	:	713-464-2614
Fax Number	:	713-464-0729

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

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	05/18/2011

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