Provider Demographics
NPI:1851768238
Name:EISSA, KARIM
Entity Type:Individual
Prefix:DR
First Name:KARIM
Middle Name:
Last Name:EISSA
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 1:5818 BEVERLYHILL ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-6710
Mailing Address - Country:US
Mailing Address - Phone:304-541-7758
Mailing Address - Fax:713-739-8200
Practice Address - Street 1:8449 W BELLFORT ST STE 285
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2246
Practice Address - Country:US
Practice Address - Phone:832-348-9516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-01
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13008111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor