MEDICARE: MEDCURE P.A.

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

General Provider Information

NPI Number	:	1699950212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDCURE P.A.

Provider Business Mailing Address
First Line	:	7048 BISSONNET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-6010
Country	:	US
Telephone Number	:	713-776-0150
Fax Number	:	713-776-2092

Provider Business Practice Location Address
First Line	:	7048 BISSONNET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-6010
Country	:	US
Telephone Number	:	713-776-0150
Fax Number	:	713-776-2092

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	NAZMUDIN KESHWANI
Credential	:	M.D.
Telephone Number	:	713-776-0150

Provider Enumeration Date	:	01/02/2008
Last Update Date	:	01/02/2008

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