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Individual

DR. MARIA CARMEN MORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
301 8TH ST 7TH FL, GALVESTON, TX 77555-2205
(409) 772-2070
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265-0859

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35.136315
OH
2086S0120X
Pediatric Surgery Physician
Primary
U3601
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568752558
MA
Enumeration date
04/12/2011
Last updated
07/19/2023
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