Individual
DR. MORITZ CASPER WYLER VON BALLMOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD/PHD/MPH
Contact information
Practice address
6550 FANNIN ST STE 1401, HOUSTON, TX 77030
(713) 441-5200
Mailing address
6550 FANNIN ST STE 1401, HOUSTON, TX 77030-2738
(713) 441-5200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2016-01460
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
R4499
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379135201
—
TX
Enumeration date
04/15/2010
Last updated
11/06/2018
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