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NPI Code Detail

MEDICARE: MOUAZ H AL-MALLAH M.D.

MEDICARE: MOUAZ H AL-MALLAH 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
1207RC0000XCardiovascular Disease PhysicianR8141TX

General Provider Information

NPI Number : 1255446217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOUAZ H AL-MALLAH M.D.
Provider Business Mailing Address
First Line : 2409 DELTA BRIDGE DR
Second Line :
City : PEARLAND
State : TX
Zip : 77584-1568
Country : US
Telephone Number : 281-723-8706
Fax Number :
Provider Business Practice Location Address
First Line : 6550 FANNIN ST STE 1901
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2719
Country : US
Telephone Number : 713-441-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 05/26/2026

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