Provider Demographics
NPI:1124551189
Name:DURELL MEDICAL SERVICES, P.L.L.C.
Entity Type:Organization
Organization Name:DURELL MEDICAL SERVICES, P.L.L.C.
Other - Org Name:BETTER BODIES HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:KOURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-731-7004
Mailing Address - Street 1:1711 ROBERTS CUT OFF RD
Mailing Address - Street 2:
Mailing Address - City:RIVER OAKS
Mailing Address - State:TX
Mailing Address - Zip Code:76114-2023
Mailing Address - Country:US
Mailing Address - Phone:817-731-7004
Mailing Address - Fax:817-731-6999
Practice Address - Street 1:1711 ROBERTS CUT OFF RD
Practice Address - Street 2:
Practice Address - City:RIVER OAKS
Practice Address - State:TX
Practice Address - Zip Code:76114-2023
Practice Address - Country:US
Practice Address - Phone:817-731-7004
Practice Address - Fax:817-731-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3183207QA0505X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty