Individual
MORAN AMIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
207Y00000X
Otolaryngology Physician
46350
TX
207Y00000X
Otolaryngology Physician
BP10055482
TX
207Y00000X
Otolaryngology Physician
Primary
S1750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428757501
—
TX
01
—
428757502
MEDICAID CSHCN
TX
01
—
8PL573
BCBS
TX
01
—
Q00119462
RAILROAD MEDICARE
TX
Enumeration date
04/17/2018
Last updated
10/28/2021
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