Individual
ERIKA LEE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6550 FANNIN ST STE 489, HOUSTON, TX 77030
(713) 441-2889
Mailing address
6550 FANNIN ST STE 489, HOUSTON, TX 77030-2717
(713) 441-2889
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Q7583
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Q7583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394016501
—
TX
Enumeration date
04/09/2012
Last updated
04/01/2019
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