Individual
DR. TOMMY MAOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24433 KATY FWY, KATY, TX 77494-1376
(281) 394-9111
Mailing address
102 LAKESIDE OAKS DR, HOUSTON, TX 77042-1033
(917) 697-1135
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA08049600
NJ
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
N2182
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629022892
TRICARE SOUTH
TX
05
—
202203001
—
TX
01
—
8BZ887
BCBSTX
TX
Enumeration date
05/20/2006
Last updated
01/01/2015
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