Individual
DANIELA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6565 FANNIN ST, FONDREN 270, HOUSTON, TX 77030-2703
(713) 441-3020
(713) 790-4207
Mailing address
6565 FANNIN ST, FONDREN 270, HOUSTON, TX 77030-2703
(713) 441-3020
(713) 790-4207
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
K6851
TX
207RP1001X
Pulmonary Disease Physician
K6851
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144311109
—
TX
05
—
180235701
—
TX
01
—
8EE934
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/29/2006
Last updated
05/17/2016
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