| Ali Moussaoui Md Pa | |
|
11914 Astoria Blvd Houston TX 77089-6064 | |
| (832) 831-1840 | |
| Not Available |
| Full Name | Ali Moussaoui Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11914 Astoria Blvd, Houston, Texas |
| Authorized Official Name and Position | Ali Moussaoui (OWNER) |
| Authorized Official Contact | 8322901722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Moussaoui Md Pa Po Box 58805 Webster TX 77598-8805 Ph: (832) 290-1722 | Ali Moussaoui Md Pa 11914 Astoria Blvd Houston TX 77089-6064 Ph: (832) 831-1840 |
| NPI Number | 1609815596 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 4082676812 |
|---|---|
| Medicare Enrollment ID | O20041103000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609815596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | (* (Not Available)) | Primary |
| Provider Name | Ali Moussaoui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114921905 PECOS PAC ID: 2961474374 Enrollment ID: I20040806000930 |
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