Dr Mohamad Koutrach, DDS is a
Dentist based in Sprin, Texas. Dr Mohamad Koutrach is licensed to practice in Michigan (license number 2901017307) and his current practice location is
8111 Cypresswood Dr, Suite 101, Sprin, Texas. He can be reached at his office (for appointments etc.) via phone at
(281) 855-7800.
NPI number for Dr Mohamad Koutrach is 1619088986 and his current mailing address is 4116b Childress St, Houston, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619088986.
Healthcare Provider's Profile
| Full Name | Dr Mohamad Koutrach |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 8111 Cypresswood Dr, Sprin, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619088986
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 08/08/2014
Medical Identifiers
Medical identifiers for Dr Mohamad Koutrach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619088986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2901017307 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mohamad Koutrach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mohamad Koutrach, DDS
4116b Childress St,
Houston, TX 77005-1012
Ph: (281) 855-7800 | Dr Mohamad Koutrach, DDS
8111 Cypresswood Dr, Suite 101,
Sprin, TX 77379
Ph: (281) 855-7800 |
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