Individual
MOOTHA V RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4480 THOMAS PARK, BEAUMONT, TX 77706-7771
(409) 892-4433
Mailing address
4480 THOMAS PARK, BEAUMONT, TX 77706-7771
(409) 892-4433
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E4923
TX
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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