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Individual

CHARLES S MORELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 822-3013
(832) 825-3747
Mailing address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 822-3013
(832) 825-3747

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
K7459
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152571903
TX
Enumeration date
10/17/2006
Last updated
11/07/2007
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