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Individual

MICHELLE KAY MOWAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12141 RICHMOND AVE, HOUSTON, TX 77082-2408
(281) 799-8600
(281) 596-5947
Mailing address
PO BOX 200993, HOUSTON, TX 77216-0993
(281) 784-1111
(281) 784-1555

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M4382
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
183106701
TX
05
183106702
TX
05
183106703
TX
01
8R8312
BCBS
TX
01
8S9236
BCBSTX PROVIDER NUMBER
TX
Enumeration date
08/31/2006
Last updated
02/28/2008
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