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NPI Code Detail

MEDICARE: TASO MOUGOURIS M.D.

MEDICARE: TASO MOUGOURIS 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 PhysicianL9377TX

General Provider Information

NPI Number : 1801835749
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASO MOUGOURIS M.D.
Provider Business Mailing Address
First Line : 4543 WEDGEWOOD DR
Second Line :
City : BELLAIRE
State : TX
Zip : 77401-3105
Country : US
Telephone Number : 832-778-8010
Fax Number :
Provider Business Practice Location Address
First Line : 4545 POST OAK PLACE DR
Second Line : SUITE 130
City : HOUSTON
State : TX
Zip : 77027-3164
Country : US
Telephone Number : 713-960-8008
Fax Number : 713-960-0965
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 08/11/2020

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Directions to “ TASO MOUGOURIS M.D.” Practice Location

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