Individual
DR. DALE C MOQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14023 SOUTHWEST FWY, SUGAR LAND, TX 77478-3550
(281) 325-4100
(281) 325-4292
Mailing address
14023 SOUTHWEST FWY, SUGAR LAND, TX 77478-3550
(281) 325-4100
(281) 325-4292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K6166
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046443004
—
TX
05
—
046443005
—
TX
Enumeration date
05/27/2006
Last updated
09/28/2011
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