Organization
WAYNE MOLDOVAN MD PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE SCOTT MOLDOVAN MD (CEO)
(713) 790-0911
Entity
Organization
Contact information
Practice address
6550 FANNIN ST, SUITE 2415, HOUSTON, TX 77030-2717
(713) 790-0911
Mailing address
6550 FANNIN ST, SUITE 2415, HOUSTON, TX 77030-2717
(713) 790-0911
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
P8163
TX
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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