| Moosa Mht Llc | |
|
1612 Stoney Lake Dr Friendswood TX 77546-6126 | |
| (855) 860-2109 | |
| (855) 814-8428 |
| Full Name | Moosa Mht Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1612 Stoney Lake Dr, Friendswood, Texas |
| Authorized Official Name and Position | Abdul R Moosa (OWNER) |
| Authorized Official Contact | 2814704740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moosa Mht Llc 1515 Heritage Drive Suite 110 Mckinney TX 75069 Ph: (855) 860-2109 | Moosa Mht Llc 1612 Stoney Lake Dr Friendswood TX 77546-6126 Ph: (855) 860-2109 |
| NPI Number | 1164842100 |
|---|---|
| Provider Enumeration Date | 04/17/2014 |
| Last Update Date | 11/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164842100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J3015 (Texas) | Primary |
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