Healthcare Provider Details

I. General information

NPI: 1801030648
Provider Name (Legal Business Name): ANGELA N MOSLEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2009
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7737 SOUTHWEST FWY STE 800
HOUSTON TX
77074-1820
US

IV. Provider business mailing address

7737 SOUTHWEST FWY STE 800
HOUSTON TX
77074-1820
US

V. Phone/Fax

Practice location:
  • Phone: 713-778-9955
  • Fax: 713-778-9969
Mailing address:
  • Phone: 713-778-9955
  • Fax: 713-778-9969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberN3194
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: