Individual
CHARLES KEVORKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6624 FANNIN ST, SUITE 2330, HOUSTON, TX 77030-2312
(713) 798-4061
(713) 796-0978
Mailing address
6624 FANNIN ST, SUITE 2330, HOUSTON, TX 77030-2312
(713) 798-4061
(713) 796-0978
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
F4906
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136171906
—
TX
Enumeration date
10/17/2006
Last updated
11/13/2020
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