MEDICARE: TANGLEWOOD COURT

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1750913711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TANGLEWOOD COURT

Provider Business Mailing Address
First Line	:	2536 AMHERST ST STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-3207
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5885 SAN FELIPE ST STE 525
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-3434
Country	:	US
Telephone Number	:	917-698-2345
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KARIM HACHMEH
Credential	:	DDS
Telephone Number	:	917-698-2345

Provider Enumeration Date	:	02/07/2020
Last Update Date	:	02/07/2020

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Directions to “TANGLEWOOD COURT ” Practice Location

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