Healthcare Provider Details

I. General information

NPI: 1639282437
Provider Name (Legal Business Name): MOSHE ALLON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 09/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 NASA PARKWAY
NASSAU BAY TX
77058
US

IV. Provider business mailing address

1202 NASA PARKWAY
NASSAU BAY TX
77058
US

V. Phone/Fax

Practice location:
  • Phone: 281-338-7246
  • Fax: 281-335-5706
Mailing address:
  • Phone: 281-338-7246
  • Fax: 281-335-5706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberJ2478
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License NumberJ2478
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: