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NPI Code Detail

MEDICARE: DR. MOHAMED M MOUSSA M.D.

MEDICARE: DR. MOHAMED M MOUSSA 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
1207R00000XInternal Medicine PhysicianU7477TX
2208M00000XHospitalist PhysicianU7477TX
3207R00000XInternal Medicine PhysicianME130872FL

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 : 1245674621
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMED M MOUSSA M.D.
Provider Business Mailing Address
First Line : 6431 FANNIN ST
Second Line : JJL 270
City : HOUSTON
State : TX
Zip : 77030
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6411 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 210-567-4724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2013
Last Update Date : 06/04/2024

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