Organization
MARK S MOELLER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEPHEN MOELLER MD (OWNER)
(713) 661-4670
Entity
Organization
Contact information
Practice address
6300 WEST LOOP SOUTH, STE 680, BELLAIRE, TX 77401
(713) 661-4670
(713) 661-4672
Mailing address
6300 WEST LOOP SOUTH, STE 680, BELLAIRE, TX 77401
(713) 661-4670
(713) 661-4672
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H6443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128313702
—
TX
Enumeration date
02/22/2006
Last updated
10/06/2011
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