Individual
CHADI KOUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9001 AMBERGLEN BLVD APT 9209, AUSTIN, TX 78729-1133
(702) 218-7823
Mailing address
9001 AMBERGLEN BLVD APT 9209, AUSTIN, TX 78729-1133
(702) 218-7823
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Enumeration date
01/20/2018
Last updated
01/20/2018
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