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Individual

MARK H MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
8633 BROADWAY ST, SUITE 117, PEARLAND, TX 77584-8497
(281) 485-2988
(281) 485-2337
Mailing address
3692 E SAM HOUSTON PKWY S, SUITE 100, PASADENA, TX 77505-3137
(713) 946-1500
(713) 946-0200

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1645
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
177268301
TX
Enumeration date
05/09/2006
Last updated
10/10/2013
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