Individual
KONSTANTINOS BOUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6431 FANNIN STREET, MSB 3.160, HOUSTON, TX 77030
(713) 500-5652
(713) 486-0989
Mailing address
6431 FANNIN STREET, MSB 3.160, HOUSTON, TX 77030
(713) 500-5652
(713) 486-0989
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME 101777
FL
208000000X
Pediatrics Physician
P9165
TX
2080P0203X
Pediatric Critical Care Medicine Physician
ME 101777
FL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
P9165
TX
Other
Enumeration date
06/01/2007
Last updated
09/24/2021
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