Provider Demographics
NPI:1114343027
Name:ELHOUCHI, BILAL SAMI (APRN)
Entity Type:Individual
Prefix:
First Name:BILAL
Middle Name:SAMI
Last Name:ELHOUCHI
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6245 RENWICK DR
Mailing Address - Street 2:APT 4232
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-7515
Mailing Address - Country:US
Mailing Address - Phone:832-661-8225
Mailing Address - Fax:
Practice Address - Street 1:6245 RENWICK DR
Practice Address - Street 2:APT 4232
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-7515
Practice Address - Country:US
Practice Address - Phone:832-661-8225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-16
Last Update Date:2014-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP685404363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily