Provider Demographics
NPI:1346656956
Name:ELHOSARY, KAMEL (DMD, BDS)
Entity Type:Individual
Prefix:DR
First Name:KAMEL
Middle Name:
Last Name:ELHOSARY
Suffix:
Gender:M
Credentials:DMD, BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 NORTH ESPLANADE STREET
Mailing Address - Street 2:
Mailing Address - City:CUERO
Mailing Address - State:TX
Mailing Address - Zip Code:03103-5738
Mailing Address - Country:US
Mailing Address - Phone:361-288-8666
Mailing Address - Fax:
Practice Address - Street 1:505 N ESPLANADE ST
Practice Address - Street 2:
Practice Address - City:CUERO
Practice Address - State:TX
Practice Address - Zip Code:77954-3603
Practice Address - Country:US
Practice Address - Phone:361-288-8666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-02
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH040611223G0001X
TX315771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice