Individual
MRS. HIDLY MOREAU JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
10039 BISSONNET ST STE 250, HOUSTON, TX 77036-7852
(713) 779-9800
(713) 779-9813
Mailing address
2911 WALNUT SPRINGS DR, KATY, TX 77449-6208
(281) 433-3668
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
10-148
TX
363AS0400X
Surgical Physician Assistant
Primary
10-148
TX
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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