# KATY PERIODONTOLOGY AND ORAL SURGERY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285039339
- **Authorized official:** DR. ALEX G BACHOURA (PRESIDENT)
- **Authorized official phone:** (713) 817-4557

## Contact information

- **Practice address:** 24437 KATY FWY, SUITE 500, KATY, TX 77494-1376
- **Practice address phone:** (281) 256-8400
- **Mailing address:** 24437 KATY FWY, SUITE 500, KATY, TX 77494-1376
- **Mailing address phone:** (281) 256-8400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 24787 | TX | Yes |

## Other

- **Enumeration date:** 10/31/2014
- **Last updated:** 10/31/2014