Individual
PROF. JOE L MOAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1709 DRYDEN, SUITE 675, HOUSTON, TX 77030
(713) 798-2250
(713) 798-2255
Mailing address
1709 DRYDEN, SUITE 675, HOUSTON, TX 77030
(713) 798-2250
(713) 798-2255
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
E0560
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E0560
MEDICAL LICENSE
TX
01
—
F0056163
DPS
TX
Enumeration date
10/03/2006
Last updated
03/07/2023
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