Provider Demographics
NPI:1285012930
Name:SHOUJAA, KARIM
Entity Type:Individual
Prefix:
First Name:KARIM
Middle Name:
Last Name:SHOUJAA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3624 50TH ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-3912
Mailing Address - Country:US
Mailing Address - Phone:806-771-4444
Mailing Address - Fax:806-771-4449
Practice Address - Street 1:3624 50TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-3912
Practice Address - Country:US
Practice Address - Phone:806-771-4444
Practice Address - Fax:806-771-4449
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-14
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12927111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor