Individual
HUMAIRA MOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3310 LIVE OAK ST, DALLAS, TX 75204-6153
(214) 266-1000
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K0141
TX
Other
Enumeration date
09/14/2006
Last updated
01/22/2013
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