Khammar, George Souhel
Khammar, George Souhel is an individual health care provider with primary practice located at 1017 12Th Ave , Fort Worth TX 76104-3915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Khammar, George Souhel can be contacted via phone (817) 334-2800.Contact Information
Primary practice address
1017 12Th Ave
Fort Worth TX 76104-3915
Phone: (817) 334-2800
Fax: (817) 820-0094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | L4489 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | L4489 | Texas |
Profile Details
| NPI number | 1619927373 |
|---|---|
| LBN Legal business name | Khammar, George Souhel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Oct 11th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619927373 | NPPES |
| Texas | MEDICAID | 1558264-02 | |
| Texas | Other | 10008961 | |
| Texas | MEDICAID | 1558264-01 | |
| Texas | Other | 7462025 | |
| Texas | Other | 8G2851 |
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