Dr Raffy Kouyoumdjian, DMD | |
2482 Jacksboro Hwy, Ft Worth, TX 76114-2201 | |
(817) 626-4867 | |
(817) 626-4866 |
Full Name | Dr Raffy Kouyoumdjian |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 2482 Jacksboro Hwy, Ft Worth, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780705483 | NPI | - | NPPES |
1479404-03 | Medicaid | TX | |
1479404-06 | Medicaid | TX | |
1479404-08 | Medicaid | TX | |
1479404-04 | Medicaid | TX | |
1479404-09 | Medicaid | TX | |
1479404-12 | Medicaid | TX | |
1479404-07 | Medicaid | TX | |
1479404-11 | Medicaid | TX | |
1479404-10 | Medicaid | TX | |
1479404-05 | Medicaid | TX | |
1824195-02 | Medicaid | TX | |
1479404-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 23066 (Texas) | Primary |
1223G0001X | Dentist - General Practice | 23066 (Texas) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Raffy Kouyoumdjian, DMD 9090 Skillman St, Suite 200c, Dallas, TX 75243-8259 Ph: (214) 342-5757 | Dr Raffy Kouyoumdjian, DMD 2482 Jacksboro Hwy, Ft Worth, TX 76114-2201 Ph: (817) 626-4867 |
Denise E Moseley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3301 Stalcup Rd, Ft Worth, TX 76119 Phone: 817-702-7185 | |
Dr. Michael Roy Jackson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6924 South Fwy, Ft Worth, TX 76134 Phone: 817-293-7431 Fax: 817-293-3848 | |
Dr. Gerald Blake Sherrick, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2516 Ne 28th St Ste 100, Ft Worth, TX 76106 Phone: 281-450-3072 | |
Dr. Susan Merlene Roberts, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6650 N Beach, #118, Ft Worth, TX 76137 Phone: 817-656-3999 Fax: 817-656-7862 | |
Dr. Mark Steven Givan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2925 Oak Park Circle, Suite 100, Ft Worth, TX 76109 Phone: 817-926-5556 Fax: 817-926-6002 | |
John Paul Stella, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 1625 St Louis Ave, Ft Worth, TX 76104 Phone: 817-927-1325 Fax: 817-927-1497 | |
Chad C Park, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 815 E Berry St # B, Ft Worth, TX 76110 Phone: 817-920-5919 |