Provider Demographics
NPI:1225396757
Name:KAMAL, MONICA (LSA)
Entity Type:Individual
Prefix:MISS
First Name:MONICA
Middle Name:
Last Name:KAMAL
Suffix:
Gender:F
Credentials:LSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3025
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77253-3025
Mailing Address - Country:US
Mailing Address - Phone:713-271-2384
Mailing Address - Fax:281-833-8950
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:1610
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-271-2384
Practice Address - Fax:281-833-8950
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00491246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant