MEDICARE: DR. BEEZER MOOLJI MD

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
1	208000000X	Pediatrics Physician	Q0512	TX

General Provider Information

NPI Number	:	1518947258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BEEZER MOOLJI MD

Provider Business Mailing Address
First Line	:	10536 COUNTY ROAD 493
Second Line	:
City	:	PRINCETON
State	:	TX
Zip	:	75407-2288
Country	:	US
Telephone Number	:	972-215-8703
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 S 2ND ST
Second Line	:
City	:	PRINCETON
State	:	TX
Zip	:	75407-6562
Country	:	US
Telephone Number	:	469-581-8115
Fax Number	:	469-581-8114

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	04/02/2025

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