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Individual

ELIE N MOUHAYAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD37372
TN
207RC0000X
Cardiovascular Disease Physician
Primary
N0296
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197407301
TX
01
197407302
CSHCN TPI
TX
05
3887657
TN
01
P00344051
RAILROAD MEDICARE
TN
Enumeration date
05/26/2006
Last updated
06/30/2021
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