Provider Demographics
NPI:1225727324
Name:ABDELKALEK KARKUR, JOSE BACHIR (CSA)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:BACHIR
Last Name:ABDELKALEK KARKUR
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15411 KASTON DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6183
Mailing Address - Country:US
Mailing Address - Phone:832-906-9920
Mailing Address - Fax:
Practice Address - Street 1:15411 KASTON DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6183
Practice Address - Country:US
Practice Address - Phone:832-906-9920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant