Provider Demographics
NPI:1619202561
Name:CHOUEIFATI, ANTOINE (LS)
Entity Type:Individual
Prefix:MR
First Name:ANTOINE
Middle Name:
Last Name:CHOUEIFATI
Suffix:
Gender:M
Credentials:LS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10717 OVERBROOK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3010
Mailing Address - Country:US
Mailing Address - Phone:832-421-8933
Mailing Address - Fax:281-520-4697
Practice Address - Street 1:10717 OVERBROOK LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3010
Practice Address - Country:US
Practice Address - Phone:832-339-1515
Practice Address - Fax:281-520-4697
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist