MEDICARE: REEM KHALIL

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	124Q00000X	Dental Hygienist	12996	TX

General Provider Information

NPI Number	:	1770795478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REEM KHALIL

Provider Business Mailing Address
First Line	:	3100 FM 2920 RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-3431
Country	:	US
Telephone Number	:	281-288-8900
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 FM 2920 RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-3431
Country	:	US
Telephone Number	:	281-288-8900
Fax Number	:

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	07/08/2007

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Directions to “ REEM KHALIL ” Practice Location

Language	Start Address	Practice Location

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