Individual
DR. MITCHELL GRAHAM MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-4000
(713) 704-5269
Mailing address
6431 FANNIN STREET, MSB3.244, HOUSTON, TX 77030-1501
(713) 734-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD.42645
AL
208000000X
Pediatrics Physician
V1556
TX
2080P0203X
Pediatric Critical Care Medicine Physician
MD.42645
AL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
V1556
TX
Other
Enumeration date
04/02/2018
Last updated
06/14/2024
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