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NPI Code Detail

MEDICARE: EMAD B MOSSAD M.D.

MEDICARE: EMAD B MOSSAD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician35063169MOH
2207LP3000XPediatric Anesthesiology PhysicianM9515TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417911793
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMAD B MOSSAD M.D.
Provider Business Mailing Address
First Line : 6651 MAIN ST STE A3300
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2351
Country : US
Telephone Number : 832-824-1000
Fax Number :
Provider Business Practice Location Address
First Line : 6621 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2358
Country : US
Telephone Number : 832-824-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 12/06/2022

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