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NPI Code Detail

MEDICARE: KELLIE ABOU-AWAD

MEDICARE:   KELLIE  ABOU-AWAD
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
1163W00000XRegistered Nurse544816TX

General Provider Information

NPI Number : 1841500915
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLIE ABOU-AWAD
Provider Business Mailing Address
First Line : 2323 S VOSS RD STE 123-X
Second Line :
City : HOUSTON
State : TX
Zip : 77057-3814
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2323 S VOSS RD STE 123-X
Second Line :
City : HOUSTON
State : TX
Zip : 77057-3814
Country : US
Telephone Number : 713-334-9627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2010
Last Update Date : 10/07/2010

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Directions to “ KELLIE ABOU-AWAD ” Practice Location

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