Individual
DR. JASON ALBERT KOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
903 SUMMIT AVE, FORT WORTH, TX 76102-3421
(817) 877-5353
(817) 877-5357
Mailing address
903 SUMMIT AVE, FORT WORTH, TX 76102-3421
(817) 877-5353
(817) 877-5357
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
A63589
CA
207QA0505X
Adult Medicine Physician
Primary
P3183
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A635890
—
CA
Enumeration date
06/22/2005
Last updated
06/30/2020
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