Provider Demographics
NPI:1316946742
Name:ABDELMELEK, LOURICE KAMEL (MD)
Entity type:Individual
Prefix:DR
First Name:LOURICE
Middle Name:KAMEL
Last Name:ABDELMELEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 WEST LOOP S STE 200B
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3503
Mailing Address - Country:US
Mailing Address - Phone:712-486-2900
Mailing Address - Fax:713-664-1272
Practice Address - Street 1:6500 WEST LOOP S STE 200B
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3503
Practice Address - Country:US
Practice Address - Phone:713-486-2900
Practice Address - Fax:713-664-1272
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0582207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX105822403Medicaid
TX080182301OtherRAILROAD MEDICARE
TX85873KOtherBCBS OF TEXAS