Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | R3317 | TX |
NPI | 1093070328 |
---|---|
Provider Name | Courtney El-Zokm |
First Address | Houston, TX 77024-4050 |
Second Address | Houston, TX 77024-4050 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2012 |
Last Update Date | 18/03/2019 |