| Organization Name: | TEXAS PHYSICIANS SPECIALIZED MEDICINE, PLLC |
| NPI Number: | 1619373453 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON ALBERT KOURI (SOLE MBR) |
| Mailing Address: | 3401 W Airport Fwy Suite 101 Irving |
| State: | TX US |
| Postal Code: | 750625902 |
| Phone Number: | 2145961051 |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2014 |
| NPI Last Update Date: | 11/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | P3183 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |