MEDICARE: DR. KARIM EISSA

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	111N00000X	Chiropractor	13008	TX

General Provider Information

NPI Number	:	1851768238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARIM EISSA

Provider Business Mailing Address
First Line	:	5818 BEVERLYHILL ST
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77057-6710
Country	:	US
Telephone Number	:	304-541-7758
Fax Number	:	713-739-8200

Provider Business Practice Location Address
First Line	:	8449 W BELLFORT ST STE 285
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-2246
Country	:	US
Telephone Number	:	832-348-9516
Fax Number	:

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

Provider Enumeration Date	:	09/01/2015
Last Update Date	:	03/10/2016

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