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NPI Code Detail

MEDICARE: DR. RAYMOND BAKHOUM DC

MEDICARE:  DR. RAYMOND  BAKHOUM  DC
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
1111N00000XChiropractor9138TX

General Provider Information

NPI Number : 1821120957
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAYMOND BAKHOUM DC
Provider Business Mailing Address
First Line : 308 E EDGEWOOD DR
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-3823
Country : US
Telephone Number : 281-992-4495
Fax Number : 281-992-7412
Provider Business Practice Location Address
First Line : 308 E EDGEWOOD DR
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-3823
Country : US
Telephone Number : 281-992-4495
Fax Number : 281-992-7412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 07/08/2007

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Directions to “ DR. RAYMOND BAKHOUM DC” Practice Location

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