Individual
DR. MARC R MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6770 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-3000
Mailing address
ONE BAYLOR PLAZA, MS: BCM390, HOUSTON, TX 77030
(832) 355-9910
(832) 355-9920
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
115539
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
47499
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203784509
—
MO
Enumeration date
07/18/2006
Last updated
11/21/2022
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