MEDICARE: KAP HOUSECALLS 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	207R00000X	Internal Medicine Physician	K7592	TX

General Provider Information

NPI Number	:	1649630138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAP HOUSECALLS PLLC

Provider Business Mailing Address
First Line	:	1910 PACIFIC AVE
Second Line	:	15800
City	:	DALLAS
State	:	TX
Zip	:	75201-4529
Country	:	US
Telephone Number	:	214-389-0855
Fax Number	:	214-389-0859

Provider Business Practice Location Address
First Line	:	1910 PACIFIC AVE
Second Line	:	15800
City	:	DALLAS
State	:	TX
Zip	:	75201-4529
Country	:	US
Telephone Number	:	214-389-0855
Fax Number	:	214-389-0859

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KOJO A POBEE
Credential	:	M.D.
Telephone Number	:	214-389-0855

Provider Enumeration Date	:	02/26/2016
Last Update Date	:	02/26/2016

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