MEDICARE: LEKIEL CARMOUCHE

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	171M00000X	Case Manager/Care Coordinator		TX
2	251E00000X	Home Health Agency		TX

General Provider Information

NPI Number	:	1790629590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEKIEL CARMOUCHE

Provider Business Mailing Address
First Line	:	17710 RED OAK DR APT 176
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-1210
Country	:	US
Telephone Number	:	832-469-9439
Fax Number	:

Provider Business Practice Location Address
First Line	:	17710 RED OAK DR APT 176
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-1210
Country	:	US
Telephone Number	:	832-469-9439
Fax Number	:

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

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “ LEKIEL CARMOUCHE ” Practice Location

Language	Start Address	Practice Location

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