Provider Demographics
NPI:1831531318
Name:BACHOUR, NAEL (DDS)
Entity type:Individual
Prefix:
First Name:NAEL
Middle Name:
Last Name:BACHOUR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16815 SPRING CREEK FOREST DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-4800
Mailing Address - Country:US
Mailing Address - Phone:281-370-6911
Mailing Address - Fax:
Practice Address - Street 1:16815 SPRING CREEK FOREST DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-4800
Practice Address - Country:US
Practice Address - Phone:281-370-6911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29236122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist