Healthcare Provider Details

I. General information

NPI: 1386711828
Provider Name (Legal Business Name): DANIELA MORAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELA GAITANARU MD

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 FANNIN ST FONDREN 270
HOUSTON TX
77030-2703
US

IV. Provider business mailing address

6565 FANNIN ST FONDREN 270
HOUSTON TX
77030-2703
US

V. Phone/Fax

Practice location:
  • Phone: 713-441-3020
  • Fax: 713-790-4207
Mailing address:
  • Phone: 713-441-3020
  • Fax: 713-790-4207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberK6851
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberK6851
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: