Provider Demographics
NPI:1144561374
Name:KOBEISSI, MAHROKH M (FNP-C)
Entity type:Individual
Prefix:DR
First Name:MAHROKH
Middle Name:M
Last Name:KOBEISSI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:DR
Other - First Name:MITZY
Other - Middle Name:
Other - Last Name:KOBEISSI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:6410 FANNIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3014
Mailing Address - Country:US
Mailing Address - Phone:713-500-3267
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF TEXAS HEALTH SERVICES
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-500-3267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-13
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX726414363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily