MEDICARE: MKM CAPITAL LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1942093901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MKM CAPITAL LLC

Provider Business Mailing Address
First Line	:	10039 BISSONNET ST STE 130
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-7863
Country	:	US
Telephone Number	:	781-513-0224
Fax Number	:	508-786-8699

Provider Business Practice Location Address
First Line	:	10039 BISSONNET ST STE 130
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-7863
Country	:	US
Telephone Number	:	781-513-0224
Fax Number	:	508-786-8699

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	LOICE GICHUKI
Credential	:
Telephone Number	:	781-513-0224

Provider Enumeration Date	:	05/23/2025
Last Update Date	:	05/23/2025

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Directions to “MKM CAPITAL LLC ” Practice Location

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