Kouri, Jason Albert

Kouri, Jason Albert is an individual health care provider with primary practice located at 903 Summit Ave , Fort Worth TX 76102-3421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Kouri, Jason Albert can be contacted via phone (817) 877-5353.

Contact Information

Primary practice address
903 Summit Ave Fort Worth TX 76102-3421
Phone: (817) 877-5353
Fax: (817) 877-5357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X P3183 Texas
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A63589 California

Profile Details

NPI number 1649276965
LBN Legal business name Kouri, Jason Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jun 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649276965 NPPES
California MEDICAID 00A635890

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